What are the monthly insurance rates if I take a leave of absence?

The 2025 Leave of Absence Monthly Rates as as follows:

Medical Coverage

Aetna PPO

Employee: $877.23 

Employee + Children: $1708.78

Employee + Spouse: $1923.25

Family: $2750.48 

Aetna HMO

Employee: $714.96 

Employee + Children: $1393.05

Employee + Spouse: $1567.50

Family: $2241.61

CareFirst BlueChoice HMO

Employee: $748.58

Employee + Children: $1497.48

Employee + Spouse: $1647.32

Family: $2418.13

Dental Coverage

Cigna PPO

Employee: $41.78 

Employee + Children: $67.59

Employee + Spouse: $96.35

Family: $130.03 

Aetna DMO

Employee: $12.35

Employee + Children: $27.71

Employee + Spouse: $21.00

Family: $38.99

Vision Coverage

VSP

Employee: $6.78

Employee + Children: $9.22

Employee + Spouse: $13.57

Family: $17.20