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enrollees shall include:

(a) The annual basic medical component deductible shall equal $1,000 per

enrollee, $1,000 per covered spouse/domestic partner and $1,000 for one or
all dependent children. Effective January 1, 2019, the annual basic medical

component deductible shall equal $1,250 per enrollee, $1,250 per covered
spouse/domestic partner and $1,250 for one or all dependent children. The

annual basic medical component deductible for employees in a title Salary
Grade 6 or below or an employee equated to a position title Salary Grade 6

or below, shall equal $500 per enrollee, $500 per covered spouse/domestic
partner and $500 for one or all dependent children. Effective January 1,

2019, the annual basic medical component deductible for employees in a
title Salary Grade 6 or below or an employee equated to a position title

Salary Grade 6 or below, shall equal $625 per enrollee, $625 per covered
spouse/domestic partner and $625 for one or all dependent children.

Covered expenses for basic medical services, mental health and/or
substance abuse treatments and home care advocacy services will be

included in determining the basic medical component deductible. As set
forth in Section 9.9 of this Agreement, a separate deductible for managed

physical medicine services will continue.
(b) The annual maximum enrollee coinsurance out-of-pocket expense

under the basic medical component shall equal $3,000 for the enrollee,
$3,000 for the covered spouse/domestic partner and $3,000 for one or all

dependent children. Effective January 1, 2019, the annual maximum
enrollee coinsurance out-of-pocket expense under the basic medical

component shall equal $3,750 for the enrollee, $3,750 for the covered

spouse/domestic partner and $3,750 for one or all dependent children.
Employees in a title Salary Grade 6 or below or an employee equated to a
position title Salary Grade 6 or below, the annual maximum coinsurance

out-of-pocket expense shall equal $1,500 for the enrollee, $1,500 for the

covered spouse/domestic partner and $1,500 for one or all dependent
children. Effective January 1, 2019, the annual maximum coinsurance out
of pocket expense under the basic medical component for employees in a

title Salary Grade 6 or below or an employee equated to a position title

Salary Grade 6 or below will be $1,875 for the enrollee, $1,875 for the
covered spouse/domestic partner and $1,875 for one or all dependent

children. The coinsurance maximums will include out-of-pocket expenses

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