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Schedule of Discounts

(Revised Annually)

Medical

Based on Monthly Household Income
Size of Household Nominal Rate Pay 25% Pay 50% Pay 75% Pay 100%
1 $1,128 $1,129 - 1,504 $1,505 - 1,880 $1,881 - 2,256 $2,257
2
1,518
1,519 - 2,024 2,025 - 2,530 2,531 - 3,036
3,037
3
1,908
1,909 - 2,544 2,545 - 3,180 3,181 - 3,816
3,817
4
2,298
 2,299 - 3,064 3,065 - 3,830 3,831 - 4,596
4,597
5
2,688
 2,689 - 3,584 3,585 - 4,480 4,481 - 5,376
5,377
6
3,078
 3,079 - 4,104 4,105 - 5,130 5,131 - 6,156
6,157
7
3,468
 3,469 - 4,624 4,625 - 5,780 5,781 - 6,936
6,937
8
3,858
3,859 - 5,144 5,145 - 6,430 6,431 - 7,716
7,717
9
4,248
4,249 - 5,664 5,665 - 7,080 7,081 - 8,496
8,497
10
4,638
 4,639 - 6,184 6,185 - 7,730 7,731 - 9,276
9,277

 

Dental

Based on Annual Household Income
Size of Household Nominal Rate Pay 75% Pay 100%
1 $1,128 $1,129 - $2,256 $2,257
2
1,518
 1,519 - 3,036 3,037
3
1,908
 1,909 - 3,816 3,817
4
2,298
 2,299 - 4,596 4,597
5
2,688
 2,689 - 5,376 5,377
6
3,078
 3,079 - 6,156 6,157
7
3,468
 3,469 - 6,936 6,937
8
3,858
 3,859 - 7,716 7,717
9
4,248
 4,249 - 8,496 8,497
10
4,638
 4,639 - 9,276 9,277

Effective 6/1/10

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    Photography: Brian Allen; Nelsons Photography

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