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The choice made by participants.
| Plan description | Basic | Enhanced | Superior |
| Monthly premium deducted from salary | $20 | $50 | $80 |
| Percentage of specified dental costs covered | 60% | 75% | 90% |
| Expected monthly out-of-pocket expenses* | $100 | $70 | $40 |
| Your choice (select one): | o | o | o |
*Expected monthly out-of-pocket expenses are for the average plan member. Actual out-of-pocket expenses will depend on your specific healthcare needs.
