3162095v1 - Segal Master Plan Document/SPD: COPY ONLY!!!!

COVID-19 Test and COVID-19 Related Services will not be subject to the Deductible beginning on March 18, 2020 through the end of the Emergency Period during which the federal government has announced a National Emergency. $4,250 per person . which includes deductibles, copayments and coinsurance. $8,500 per family ................
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