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Pro rata Premiums for FY17
Effective
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30Single Full
Coverage830.00
802.33
774.67
747.00
719.33
691.67
664.00
636.33
608.67
581.00
553.33
525.67
498.00
470.33
442.67
415.00
387.33
359.67
332.00
304.33
276.67
249.00
221.33
193.67
166.00
138.33
110.67
83.00
55.33
27.67Dependent
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