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Employer Total Monthly Cost

Month / Year

Carrier	Product	Plan Name	Internal Name	Group Number	Total Enrolled	Monthly Cost
Anthem Blue Cross	Medical	Anthem Gold $1000 PPO - 2020	Med Gold 1000	Cf-12345679	2	$406.25
Anthem Blue Cross	Medical	Anthem PPO 4000 HSA - 2020		Cf-123455623	1	$350.00
Cigna	Dental	Cigna Dental PPO	Delta PPO	00722369	3	$0.00
HSA Bank	Health Savings Account (HSA)	HSA 2020			1	$250.00
Guardian	Group Life AD&D	Guardian Group Life/AD&D		00034329	25	$205.50
Unum Group	Voluntary Life AD&D	2019 UNUM Voluntary Life/AD&D		7678	23	$0.00
Guardian	Group Short Term Disability	Guardian Group STD			25	$496.18
Guardian	Group Long Term Disability	Guardian Group LTD			25	$321.31

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