$50 Deductible $100 Deductible
Single Only
........................................$18.92
$14.48
Insured &
1 (Child or Spouse)..............$34.88
$27.44
Insured &
2 or More ............................$48.68
$41.96
Value Plan
$50 Deductible $100 Deductible
Single Only
........................................$26.40
$22.24
Insured &
1 (Child or Spouse)..............$48.84
$41.48
Insured &
2 or More ............................$69.84
$59.72
Standard Plan
$50 Deductible $100 Deductible
Single Only
........................................$35.24
$31.52
Insured &
1 (Child or Spouse)..............$65.52
$58.92
Insured &
2 or More ............................$97.20
$87.80