Employee Cost Coverage through UMR MEDICAL PPO PLAN HSA PLAN ONE HSA PLAN TWO 26 Pays 20 Pays 26 Pays 20 Pays 26 Pays 20 Pays Employee Only $83.17 $108.12 $57.27 $74.45 $35.35 $45.95 Employee + Spouse $237.66 $308.95 $174.03 $226.24 $84.51 $109.86 Employee + Child(ren) $203.70 $264.82 $149.03 $193.73 $72.43 $94.16 Family $367.20 $477.36 $276.48 $359.43 $120.72 $156.94