{"id":6978,"date":"2021-12-15T17:22:23","date_gmt":"2021-12-15T17:22:23","guid":{"rendered":"https:\/\/hjm.xex.mybluehost.me\/?page_id=6978"},"modified":"2025-12-10T16:43:34","modified_gmt":"2025-12-10T16:43:34","slug":"open-enrollment-form","status":"publish","type":"page","link":"https:\/\/benefits.hi-line.com\/?page_id=6978","title":{"rendered":"Open Enrollment Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6978\" class=\"elementor elementor-6978\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-da6b309 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"da6b309\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-80b5a5c\" data-id=\"80b5a5c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aa9c429 elementor-widget elementor-widget-image\" data-id=\"aa9c429\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"480\" src=\"https:\/\/i0.wp.com\/benefits.hi-line.com\/wp-content\/uploads\/2021\/12\/Open-enrollment.-text-on-white-notepad-paper-on-a-stand-next-to-our-desk-clock-on-a-sideboard.-on-white-background.png?fit=1024%2C480&amp;ssl=1\" class=\"attachment-large size-large wp-image-7003\" alt=\"Open Enrollment\" srcset=\"https:\/\/i0.wp.com\/benefits.hi-line.com\/wp-content\/uploads\/2021\/12\/Open-enrollment.-text-on-white-notepad-paper-on-a-stand-next-to-our-desk-clock-on-a-sideboard.-on-white-background.png?w=1920&amp;ssl=1 1920w, https:\/\/i0.wp.com\/benefits.hi-line.com\/wp-content\/uploads\/2021\/12\/Open-enrollment.-text-on-white-notepad-paper-on-a-stand-next-to-our-desk-clock-on-a-sideboard.-on-white-background.png?resize=300%2C141&amp;ssl=1 300w, https:\/\/i0.wp.com\/benefits.hi-line.com\/wp-content\/uploads\/2021\/12\/Open-enrollment.-text-on-white-notepad-paper-on-a-stand-next-to-our-desk-clock-on-a-sideboard.-on-white-background.png?resize=1024%2C480&amp;ssl=1 1024w, https:\/\/i0.wp.com\/benefits.hi-line.com\/wp-content\/uploads\/2021\/12\/Open-enrollment.-text-on-white-notepad-paper-on-a-stand-next-to-our-desk-clock-on-a-sideboard.-on-white-background.png?resize=768%2C360&amp;ssl=1 768w, https:\/\/i0.wp.com\/benefits.hi-line.com\/wp-content\/uploads\/2021\/12\/Open-enrollment.-text-on-white-notepad-paper-on-a-stand-next-to-our-desk-clock-on-a-sideboard.-on-white-background.png?resize=1536%2C720&amp;ssl=1 1536w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4985112\" data-id=\"4985112\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ce82c52 elementor-widget elementor-widget-technum_heading\" data-id=\"ce82c52\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"technum-heading-widget\"><h2 class=\"technum-heading\"><span class=\"technum-subheading\">ENROLLMENT<\/span><span class=\"technum-heading-content\"><span style=\"text-decoration: underline\">Open Enrollment<\/span> Form<\/span><\/h2><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a88f07c elementor-widget elementor-widget-text-editor\" data-id=\"a88f07c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Please take a moment to review the changes to Hi-Line\u2019s Medical Plans.\u00a0 The updated plan options and costs are also summarized below.<\/p><p>Once you have made your selection, please use the form below to renew your coverage and make changes to your plan selection.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4bb6732 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4bb6732\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-inner-column elementor-element elementor-element-4104165\" data-id=\"4104165\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-inner-column elementor-element elementor-element-61efe6d\" data-id=\"61efe6d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-36ce0a7 elementor-widget elementor-widget-technum_heading\" data-id=\"36ce0a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"technum-heading-widget\"><h2 class=\"technum-heading\"><span class=\"technum-heading-content\"><span style=\"text-decoration: underline\">Medical Coverage<\/span> Form<\/span><\/h2><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aecd83a elementor-widget elementor-widget-spacer\" data-id=\"aecd83a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e93a0a elementor-widget elementor-widget-technum_wpforms\" data-id=\"1e93a0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"technum-wpforms-widget\">\n            <div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-6408\"><form id=\"wpforms-form-6408\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"6408\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F6978\" data-token=\"6c0e1c33391871126acd4db8b1a8903f\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-6408-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_9\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-6408-field_9\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][9][first]\" required><label for=\"wpforms-6408-field_9\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-6408-field_9-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][9][last]\" required><label for=\"wpforms-6408-field_9-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6408-field_10-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_10\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-6408-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-6408-field_11-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_11\">Choose Healthcare Plan Level you would like <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6408-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_11_1\" name=\"wpforms[fields][11]\" value=\"Standard Plan\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_11_1\">Standard Plan<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_11_2\" name=\"wpforms[fields][11]\" value=\"HSA Plan\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_11_2\">HSA Plan<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_11_3\" name=\"wpforms[fields][11]\" value=\"Opt-Out (I no longer wish to participate.)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_11_3\">Opt-Out (I no longer wish to participate.)<\/label><\/li><\/ul><\/div><div id=\"wpforms-6408-field_12-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"12\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_12\">Update Number of Dependents for Standard Plan <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6408-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_12_1\" name=\"wpforms[fields][12]\" value=\"Team Member Only\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_12_1\">Team Member Only<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_12_2\" name=\"wpforms[fields][12]\" value=\"Team Member + 1 Dependent\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_12_2\">Team Member + 1 Dependent<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_12_3\" name=\"wpforms[fields][12]\" value=\"Team Member + 2 Dependents\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_12_3\">Team Member + 2 Dependents<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_12_4\" name=\"wpforms[fields][12]\" value=\" Team Member + 3 or more Dependents\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_12_4\"> Team Member + 3 or more Dependents<\/label><\/li><\/ul><\/div><div id=\"wpforms-6408-field_17-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"17\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_17\">Update Number of Dependents for HSA Plan <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6408-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_17_1\" name=\"wpforms[fields][17]\" value=\"Team Member Only\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_17_1\">Team Member Only<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_17_2\" name=\"wpforms[fields][17]\" value=\"Team Member + 1 Dependent\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_17_2\">Team Member + 1 Dependent<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_17_3\" name=\"wpforms[fields][17]\" value=\"Team Member + 2 Dependents\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_17_3\">Team Member + 2 Dependents<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_17_4\" name=\"wpforms[fields][17]\" value=\" Team Member + 3 or more Dependents\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_17_4\"> Team Member + 3 or more Dependents<\/label><\/li><\/ul><\/div><div id=\"wpforms-6408-field_15-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"15\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_15\">HSA Contribution Amount Per Month: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-6408-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required><\/div><div id=\"wpforms-6408-field_13-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"13\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_13\">Choose Dental Care Plan Level you would like <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6408-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_13_1\" name=\"wpforms[fields][13]\" value=\"MetLife Dental Plan (See cost and coverage below.)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_13_1\">MetLife Dental Plan (See cost and coverage below.)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_13_2\" name=\"wpforms[fields][13]\" value=\"Opt Out (I no longer wish to participate.)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_13_2\">Opt Out (I no longer wish to participate.)<\/label><\/li><\/ul><\/div><div id=\"wpforms-6408-field_18-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"18\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_18\">Update Number of Dependents for Dental Care Plan <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6408-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_18_1\" name=\"wpforms[fields][18]\" value=\"Team Member Only\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_18_1\">Team Member Only<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_18_2\" name=\"wpforms[fields][18]\" value=\"Team Member + Spouse\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_18_2\">Team Member + Spouse<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_18_3\" name=\"wpforms[fields][18]\" value=\"Team Member + Child(ren)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_18_3\">Team Member + Child(ren)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_18_4\" name=\"wpforms[fields][18]\" value=\"Team Member + Family\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_18_4\">Team Member + Family<\/label><\/li><\/ul><\/div><div id=\"wpforms-6408-field_19-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"19\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_19\">Choose Vision Plan Level you would like <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6408-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_19_1\" name=\"wpforms[fields][19]\" value=\"MetLife Vision Plan (See cost and coverage below.)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_19_1\">MetLife Vision Plan (See cost and coverage below.)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_19_2\" name=\"wpforms[fields][19]\" value=\"Opt Out (I no longer wish to participate.)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_19_2\">Opt Out (I no longer wish to participate.)<\/label><\/li><\/ul><\/div><div id=\"wpforms-6408-field_20-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"20\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-6408-field_20\">Update Number of Dependents for Vison Plan <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6408-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_20_1\" name=\"wpforms[fields][20]\" value=\"Team Member Only\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_20_1\">Team Member Only<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_20_2\" name=\"wpforms[fields][20]\" value=\"Team Member + Spouse\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_20_2\">Team Member + Spouse<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_20_3\" name=\"wpforms[fields][20]\" value=\"Team Member + Child(ren)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_20_3\">Team Member + Child(ren)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-6408-field_20_4\" name=\"wpforms[fields][20]\" value=\"Team Member + Family\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6408-field_20_4\">Team Member + Family<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"6408\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-6408\" class=\"wpforms-submit\" data-alt-text=\"Submitting!\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/benefits.hi-line.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-inner-column elementor-element elementor-element-3f20252\" data-id=\"3f20252\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c58664d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c58664d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-84fc22b\" data-id=\"84fc22b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9e717f6 elementor-widget elementor-widget-technum_heading\" data-id=\"9e717f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"technum-heading-widget\"><h2 class=\"technum-heading\"><span class=\"technum-heading-content\"><span style=\"text-decoration: underline\">Medical Plan<\/span> Options<\/span><\/h2><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-96c4aba elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"96c4aba\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5d26909\" data-id=\"5d26909\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a491e28\" data-id=\"a491e28\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd9494c elementor-widget elementor-widget-text-editor\" data-id=\"dd9494c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><colgroup> <col width=\"470\" \/> <col width=\"176\" \/> <col width=\"176\" \/><\/colgroup><tbody><tr><td>\u00a0<\/td><td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Standard Plan&quot;}\">Standard Plan<\/td><td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;HSA Plan&quot;}\">H.S.A. Plan<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-479eb90 elementor-widget elementor-widget-text-editor\" data-id=\"479eb90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><colgroup> <col width=\"470\" \/> <col width=\"176\" \/> <col width=\"176\" \/><\/colgroup><tbody><tr><td data-sheets-value=\"{\">TEAM MEMBER ONLY<\/td><td data-sheets-value=\"{\" data-sheets-numberformat=\"{\">$272<\/td><td data-sheets-value=\"{\" data-sheets-numberformat=\"{\">$155<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a489647 elementor-widget elementor-widget-text-editor\" data-id=\"a489647\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><colgroup> <col width=\"470\" \/> <col width=\"176\" \/> <col width=\"176\" \/><\/colgroup><tbody><tr><td data-sheets-value=\"{\">TEAM MEMBER + 1 DEPENDENT COST<\/td><td data-sheets-value=\"{\" data-sheets-numberformat=\"{\">$871<\/td><td data-sheets-value=\"{\" data-sheets-numberformat=\"{\">$628<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b0d953 elementor-widget elementor-widget-text-editor\" data-id=\"7b0d953\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><colgroup> <col width=\"470\" \/> <col width=\"176\" \/> <col width=\"176\" \/><\/colgroup><tbody><tr><td data-sheets-value=\"{\">TEAM MEMBER + 2 DEPENDENTS COST<\/td><td data-sheets-value=\"{\" data-sheets-numberformat=\"{\">$961<\/td><td data-sheets-value=\"{\" data-sheets-numberformat=\"{\">$639<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-555db51 elementor-widget elementor-widget-text-editor\" data-id=\"555db51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><colgroup> <col width=\"470\" \/> <col width=\"176\" \/> <col width=\"176\" \/><\/colgroup><tbody><tr><td data-sheets-value=\"{\">TEAM MEMBER + 3 DEPENDENTS COST<\/td><td data-sheets-value=\"{\" data-sheets-numberformat=\"{\">$995<\/td><td data-sheets-value=\"{\" data-sheets-numberformat=\"{\">$660<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d918d5e elementor-widget elementor-widget-text-editor\" data-id=\"d918d5e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><colgroup> <col width=\"470\" \/> <col width=\"176\" \/> <col width=\"176\" \/><\/colgroup><tbody><tr><td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;ANNUAL DEDUCTIBLE PER INDIVIDUAL&quot;}\">ANNUAL DEDUCTIBLE PER INDIVIDUAL<\/td><td data-sheets-value=\"{&quot;1&quot;:3,&quot;3&quot;:1500}\" data-sheets-numberformat=\"{&quot;1&quot;:4,&quot;2&quot;:&quot;\\&quot;$\\&quot;#,##0&quot;,&quot;3&quot;:1}\">$1,500<\/td><td data-sheets-value=\"{&quot;1&quot;:3,&quot;3&quot;:2000}\" data-sheets-numberformat=\"{&quot;1&quot;:4,&quot;2&quot;:&quot;\\&quot;$\\&quot;#,##0&quot;,&quot;3&quot;:1}\">$2,000<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2a6ced elementor-widget elementor-widget-text-editor\" data-id=\"e2a6ced\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><colgroup> <col width=\"470\" \/> <col width=\"176\" \/> <col width=\"176\" \/><\/colgroup><tbody><tr><td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;FAMILY DEDUCTIBLE LIMIT&quot;}\">FAMILY DEDUCTIBLE LIMIT<\/td><td data-sheets-value=\"{&quot;1&quot;:3,&quot;3&quot;:4500}\" data-sheets-numberformat=\"{&quot;1&quot;:4,&quot;2&quot;:&quot;\\&quot;$\\&quot;#,##0&quot;,&quot;3&quot;:1}\">$4,500<\/td><td data-sheets-value=\"{&quot;1&quot;:3,&quot;3&quot;:6000}\" data-sheets-numberformat=\"{&quot;1&quot;:4,&quot;2&quot;:&quot;\\&quot;$\\&quot;#,##0&quot;,&quot;3&quot;:1}\">$3,600<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41b0a0f elementor-widget elementor-widget-text-editor\" data-id=\"41b0a0f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><colgroup><col width=\"470\" \/><col width=\"176\" \/><col width=\"176\" \/><\/colgroup><tbody><tr><td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;PLAN COINSURANCE LIMIT&quot;}\">PLAN COINSURANCE LIMIT<\/td><td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;80%\/20%&quot;}\">80%\/20%<\/td><td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;80%\/20%&quot;}\">80%\/20%<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2946891 elementor-widget elementor-widget-text-editor\" data-id=\"2946891\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><colgroup><col width=\"470\" \/><col width=\"176\" \/><col width=\"176\" \/><\/colgroup><tbody><tr><td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;PRESCRIPTION DRUGS DEDUCTIBLE&quot;}\">PRESCRIPTION DRUGS DEDUCTIBLE<\/td><td data-sheets-value=\"{&quot;1&quot;:3,&quot;3&quot;:150}\" data-sheets-numberformat=\"{&quot;1&quot;:4,&quot;2&quot;:&quot;\\&quot;$\\&quot;#,##0&quot;,&quot;3&quot;:1}\">$150<\/td><td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;All prescriptions apply toward the calendar year deductible and out of pocket limit.&quot;}\"><div><div>All prescriptions apply toward the calendar year deductible and out of pocket limit.<\/div><\/div><\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0799eb7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0799eb7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4bbb0a0\" data-id=\"4bbb0a0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f2e6857 elementor-section-content-bottom elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f2e6857\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-d2d270d\" data-id=\"d2d270d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fa97abb elementor-widget elementor-widget-technum_heading\" data-id=\"fa97abb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"technum-heading-widget\"><h2 class=\"technum-heading\"><span class=\"technum-subheading\">DENTAL<\/span><span class=\"technum-heading-content\"><span style=\"text-decoration: underline\">Dental Plan<\/span> Options<\/span><\/h2><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a223acc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a223acc\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-narrow\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-b2909b7\" data-id=\"b2909b7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32542a4 elementor-widget elementor-widget-technum_price_item\" data-id=\"32542a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_price_item.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-price-item-widget\">\n            <div class=\"price-item price-item-type-standard\">\n                <div class=\"price-item-inner\">\n\n                    <div class=\"price-item-title-wrapper\"><div class=\"price-item-title\">TEAM MEMBER ONLY<\/div><\/div><div class=\"price-item-image\"><\/div>                        <div class=\"price-item-container price-item-currency-position-before\">\n                            <div class=\"price-wrapper\">\n                                <span class=\"currency\">$<\/span><span class=\"price\">43.37<\/span>                            <\/div>\n\n                                                    <\/div>\n                        \n                                    <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-7b3831f\" data-id=\"7b3831f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1016aab elementor-widget elementor-widget-technum_price_item\" data-id=\"1016aab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_price_item.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-price-item-widget\">\n            <div class=\"price-item price-item-type-standard\">\n                <div class=\"price-item-inner\">\n\n                    <div class=\"price-item-title-wrapper\"><div class=\"price-item-title\">TEAM MEMBER + SPOUSE COST<\/div><\/div><div class=\"price-item-image\"><\/div>                        <div class=\"price-item-container price-item-currency-position-before\">\n                            <div class=\"price-wrapper\">\n                                <span class=\"currency\">$<\/span><span class=\"price\">88.27<\/span>                            <\/div>\n\n                                                    <\/div>\n                        \n                                    <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-e5cf5b1\" data-id=\"e5cf5b1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9897ded elementor-widget elementor-widget-technum_price_item\" data-id=\"9897ded\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_price_item.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-price-item-widget\">\n            <div class=\"price-item price-item-type-standard\">\n                <div class=\"price-item-inner\">\n\n                    <div class=\"price-item-title-wrapper\"><div class=\"price-item-title\">TEAM MEMBER + CHILD(REN) COST<\/div><\/div><div class=\"price-item-image\"><\/div>                        <div class=\"price-item-container price-item-currency-position-before\">\n                            <div class=\"price-wrapper\">\n                                <span class=\"currency\">$<\/span><span class=\"price\">100.07<\/span>                            <\/div>\n\n                                                    <\/div>\n                        \n                                    <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-a74033b\" data-id=\"a74033b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ecf82a elementor-widget elementor-widget-technum_price_item\" data-id=\"6ecf82a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_price_item.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-price-item-widget\">\n            <div class=\"price-item price-item-type-standard\">\n                <div class=\"price-item-inner\">\n\n                    <div class=\"price-item-title-wrapper\"><div class=\"price-item-title\">TEAM MEMBER + FAMILY COST<\/div><\/div><div class=\"price-item-image\"><\/div>                        <div class=\"price-item-container price-item-currency-position-before\">\n                            <div class=\"price-wrapper\">\n                                <span class=\"currency\">$<\/span><span class=\"price\">155.50<\/span>                            <\/div>\n\n                                                    <\/div>\n                        \n                                    <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1cff355 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1cff355\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-989c921\" data-id=\"989c921\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c4cdfa6 elementor-widget elementor-widget-technum_heading\" data-id=\"c4cdfa6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"technum-heading-widget\"><h2 class=\"technum-heading\"><span class=\"technum-subheading\">VISION<\/span><span class=\"technum-heading-content\"><span style=\"text-decoration: underline\">Vision Plan<\/span> Options<\/span><\/h2><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d17330c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d17330c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-narrow\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-cdf2f9c\" data-id=\"cdf2f9c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7a2e59b elementor-widget elementor-widget-technum_price_item\" data-id=\"7a2e59b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_price_item.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-price-item-widget\">\n            <div class=\"price-item price-item-type-standard\">\n                <div class=\"price-item-inner\">\n\n                    <div class=\"price-item-title-wrapper\"><div class=\"price-item-title\">TEAM MEMBER ONLY<\/div><\/div><div class=\"price-item-image\"><\/div>                        <div class=\"price-item-container price-item-currency-position-before\">\n                            <div class=\"price-wrapper\">\n                                <span class=\"currency\">$<\/span><span class=\"price\">9.29<\/span>                            <\/div>\n\n                                                    <\/div>\n                        \n                                    <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-919eff7\" data-id=\"919eff7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-10f30a2 elementor-widget elementor-widget-technum_price_item\" data-id=\"10f30a2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_price_item.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-price-item-widget\">\n            <div class=\"price-item price-item-type-standard\">\n                <div class=\"price-item-inner\">\n\n                    <div class=\"price-item-title-wrapper\"><div class=\"price-item-title\">TEAM MEMBER + SPOUSE COST<\/div><\/div><div class=\"price-item-image\"><\/div>                        <div class=\"price-item-container price-item-currency-position-before\">\n                            <div class=\"price-wrapper\">\n                                <span class=\"currency\">$<\/span><span class=\"price\">18.61<\/span>                            <\/div>\n\n                                                    <\/div>\n                        \n                                    <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-9b522a3\" data-id=\"9b522a3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-60f7610 elementor-widget elementor-widget-technum_price_item\" data-id=\"60f7610\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_price_item.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-price-item-widget\">\n            <div class=\"price-item price-item-type-standard\">\n                <div class=\"price-item-inner\">\n\n                    <div class=\"price-item-title-wrapper\"><div class=\"price-item-title\">TEAM MEMBER + CHILD(REN) COST<\/div><\/div><div class=\"price-item-image\"><\/div>                        <div class=\"price-item-container price-item-currency-position-before\">\n                            <div class=\"price-wrapper\">\n                                <span class=\"currency\">$<\/span><span class=\"price\">15.76<\/span>                            <\/div>\n\n                                                    <\/div>\n                        \n                                    <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-f721217\" data-id=\"f721217\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ce53d1 elementor-widget elementor-widget-technum_price_item\" data-id=\"2ce53d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_price_item.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-price-item-widget\">\n            <div class=\"price-item price-item-type-standard\">\n                <div class=\"price-item-inner\">\n\n                    <div class=\"price-item-title-wrapper\"><div class=\"price-item-title\">TEAM MEMBER + FAMILY COST<\/div><\/div><div class=\"price-item-image\"><\/div>                        <div class=\"price-item-container price-item-currency-position-before\">\n                            <div class=\"price-wrapper\">\n                                <span class=\"currency\">$<\/span><span class=\"price\">25.99<\/span>                            <\/div>\n\n                                                    <\/div>\n                        \n                                    <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ce6e21 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1ce6e21\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ee82178\" data-id=\"ee82178\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9553b0c elementor-widget elementor-widget-technum_heading\" data-id=\"9553b0c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"technum-heading-widget\"><h2 class=\"technum-heading\"><span class=\"technum-heading-content\">HSA <span style=\"text-decoration: underline\">Maximum Contribution<\/span><\/span><\/h2><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ab1995 elementor-widget elementor-widget-text-editor\" data-id=\"6ab1995\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>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.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-98e3538 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"98e3538\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-d288123\" data-id=\"d288123\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-80ce239 icon-position-left alignment-left v-alignment-middle v-alignment-mobile-top elementor-widget elementor-widget-technum_icon_box\" data-id=\"80ce239\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_icon_box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-icon-box-widget\">\n            <div class=\"icon-box-item\">\n\n                <div class=\"icon-container background-type-color\">\n                    <i class=\"fas fa-dollar-sign\"><\/i>                <\/div>\n\n                <div class=\"content-container\">\n                    \n\n                    <div class=\"icon-box-info\"><p>Health Savings Account maximum contribution levels are <strong>$4,400<\/strong>\u00a0for Individual Only and\u00a0<strong>$8,750<\/strong>\u00a0for\u00a0Employee + one or more dependents.<\/p><\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6901527 icon-position-left alignment-left v-alignment-middle v-alignment-mobile-top elementor-widget elementor-widget-technum_icon_box\" data-id=\"6901527\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"technum_icon_box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n        <div class=\"technum-icon-box-widget\">\n            <div class=\"icon-box-item\">\n\n                <div class=\"icon-container background-type-color\">\n                    <i class=\"fas fa-arrow-right\"><\/i>                <\/div>\n\n                <div class=\"content-container\">\n                    \n\n                    <div class=\"icon-box-info\"><p>For individuals who are 55 years of age or older and not on Medicare, a catch-up contribution of <strong>$1,000<\/strong> is allowed.<\/p><\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please take a moment to review the changes to Hi-Line\u2019s Medical Plans.\u00a0 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&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"nf_dc_page":"","footnotes":""},"class_list":["post-6978","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Open Enrollment Form - Hi-Line Benefits<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/benefits.hi-line.com\/?page_id=6978\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Open Enrollment Form - Hi-Line Benefits\" \/>\n<meta property=\"og:description\" content=\"Please take a moment to review the changes to Hi-Line\u2019s Medical Plans.\u00a0 The updated plan options and costs are also summarized below. 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