Centurion Spartan Enrollment : Step 2

SUMMARY
FAMILY STATUS PLAN MONTHLY RATE
DENTAL PLAN
N/A N/A Are you sure you want to opt out of dental?
Yes No
VISION PLAN
N/A N/A Are you sure you want to opt out of vision?
Yes No
ACCIDENT PLAN
N/A N/A Are you sure you want to opt out of accident coverage?
Yes No
CANCER PLAN
N/A N/A Are you sure you want to opt out of cancer coverage?
Yes No
HOSPITAL PLAN
N/A N/A Are you sure you want to opt out of hospital coverage?
Yes No
LegalShield
N/A N/A Are you sure you want to opt out of LegalShield?
Yes No
MONTHLY SUBTOTAL $0.00
MONTHLY EMPLOYER SUPPLEMENTAL CONTRIBUTION $0.00
EverydayCARE Are you sure you want to opt out of EverydayCARE coverage?
Yes No
MONTHLY SMOKER ADJUSTMENT $0.00
WEEKLY PAYCHECK DEDUCTION $0.00

NOTE: All Yes/No questions in red above required to continue