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Deductible Status

The following chart illustrates all payments toward your annual deductible in each plan. Your plan may include additional deductible requirements which apply to special services. Visit the related items to help answer any questions you may have about this chart.



Calendar Year  Dental Deductible Medical Out of Network Medical Deductible
Satisfied to Date: 2003     
ALVIN   $50.00
LAUREN   $0.00
TIFFANY   $0.00
STEFAN   $0.00
Family   $50.00
  $0.00
  $0.00
  $0.00
  $0.00
  $0.00
  $0.00
  $0.00
  $0.00
  $0.00
  $0.00
Your Plan Benefits: 
Patient   $50.00
Family   $100.00
  $500.00
  $1,500.00
  $500.00
  $1,500.00


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