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PLAN DOCUMENTS
  Standard DPPO Enhanced DPPO
Plan Summary download download
SBC download download
Contract download download
PLAN COSTS PER PAYCHECK
Employee (EE) $1.14 $10.32
EE + Spouse $23.79 $37.82
EE + Child(ren) $19.51 $32.84
EE + Family $46.21 $65.63

Aetna Standard DPPO

  • Plan Summary
  • Summary of Benefits and Coverage
  • Contract
  • Employee Only
    $1.14
  • Employee + Spouse
    $23.79
  • Employee + Child(ren)
    $19.51
  • Employee + Family
    $46.21

Aetna Enhanced DPPO

  • Plan Summary (Eng)
  • Plan Summary (Sp)
  • Summary of Benefits and Coverage (Eng)
  • Summary of Benefits and Coverage (Sp)
  • Contract
  • Employee Only
    $10.32
  • Employee + Spouse
    $37.82
  • Employee + Child(ren)
    $32.84
  • Employee + Family
    $65.63
  • Benefits Service Center

    If you have questions or need additional information feel free to contact the Benefit Service Center. Click below to get in touch.

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