Please take a moment to review the changes to Hi-Line’s Medical Plans. The updated plan options and costs are also summarized below.
Once you have made your selection, please use the form below to renew your coverage and make changes to your plan selection.
| Standard Plan | H.S.A. Plan |
| TEAM MEMBER ONLY | $241 | $124 |
| TEAM MEMBER + 1 DEPENDENT COST | $840 | $597 |
| TEAM MEMBER + 2 DEPENDENTS COST | $930 | $608 |
| TEAM MEMBER + 3 DEPENDENTS COST | $964 | $629 |
| ANNUAL DEDUCTIBLE PER INDIVIDUAL | $1,500 | $2,000 |
| FAMILY DEDUCTIBLE LIMIT | $4,500 | $3,600 |
| PLAN COINSURANCE LIMIT | 80%/20% | 80%/20% |
| PRESCRIPTION DRUGS DEDUCTIBLE | $150 | All prescriptions apply toward the calendar year deductible and out of pocket limit. |
Health Savings Accounts (the savings account portion of the HSA Plan) has a limit on the amount that can be contributed tax-free each year to your account.