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| Accelerated Plan | Base Plan | |
| Coverage Level | Total | Total |
| Retiree Only | $502.42 | $401.68 |
| Retiree & Spouse (w/o Medicare) | $1,055.09 | $843.52 |
| Retiree & Spouse (with Medicare) | $926.27 | $843.52 |
| Retiree & Children | $954.60 | $763.19 |
| Retiree, Spouse (w/o Medicare), Child(ren) | $1,457.03 | $1,164.86 |
| Retiree, Spouse (with Medicare), Child(ren) | $1,378.44 | $1.184.53 |
| Coverage Level | Total |
| Retiree Only | $423.85 |
| Retiree & Spouse (w/o Medicare) | $890.10 |
| Retiree & Spouse (with Medicare) | $890.10 |
| Retiree & Children | $805.32 |
| Retiree, Spouse (w/o Medicare), Child(ren) | $1,307.73 |
| Retiree, Spouse (with Medicare), Child(ren) | $1,229.16 |
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