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7 <br /> HDHP PLAN <br /> lul�r1,at]z5throughJune W.2026 1uhl],2L725throw- <br /> TOTAL F U l•J OI W-3 RATE <br /> EE Only 119 5&3&.99 $`99,x: $889.33 $1 cq,83D <br /> EE+Spouse 18 $1,67.0.74 $3C,._-3 $1,77'-.=E $31,973 <br /> EE+Children 32 $1,3703.34 $41,7x07 $1,3&1.54 $44,20 <br /> EE+Family 21 52,33&Q7 $4%099 $2,47&35 $52,045 <br /> Emp Inyee <br /> EE Only 173 $i7 OD $ Sam W <br /> EE+Spause 15 $271.80 $4,592 5271-BD "$4,892 <br /> EE+Children 32 $151.82 $4,858 $151.82 $4,858 <br /> EE+Family 21 5484:74 510,2&5 $489.74 510,285 <br /> Ora rige County <br /> EE Only 179 5538.94 $99;54Cr 5889.33 $105,830 <br /> EE+Spouse 1& 51,398.94 $25,1&1 $1,499.18 $26,985 <br /> EE+•Children 32 51,151.52 $315,949 $1,229.72 539,351 <br /> EE+Family 21 51,54&33 $38}&15 51,9&&61 $41,761 <br /> Tmal <br /> Tota I Ma nth�j <br /> .� <br /> x 52444-22 <br /> Ora nge County An rKial 62Aa, i <br /> COMBINED PLAINS <br /> :a <br /> Ora nge Ca u My An nu M <br /> r <br />