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This outline is for information purposes only. Rates for all UBC plans, including insured plans, are subject to change based on changes in the plan’s experience. You will be notified in writing of any of these rate changes. In the event of a discrepancy, the official document shall prevail.
MEDICAL SERVICES PLAN (MSP) |
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| Group Number: 4081923 2012/01/01 |
You Pay | UBC Pays | ||
| single | $64.00 | —— | ||
| single plus dependent | $116.00 | —— | ||
| family | $128.00 | —— | ||
EXTENDED HEALTH PLAN (EHB) |
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| Group Number: 25205 2012/01/01 |
You Pay | UBC Pays | ||
| single | —— | $50.98 | ||
| single plus dependent | —— | $125.76 | ||
| family | —— | $125.76 | ||
DENTAL PLAN (DEN) |
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| Group Number: 25205 2012/01/01 |
You Pay | UBC Pays | ||
| single | —— | $53.50 | ||
| single plus dependent | —— | $101.46 | ||
| family | —— | $169.12 | ||
EMPLOYEE AND FAMILY ASSISTANCE PROGRAM |
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| 2000/04/01 | You Pay | UBC Pays | ||
| all eligible employees | $1.20 | $2.80 |
