Primary First Name Last Name State Date of Birth Gender Tobacco/Vape Usage
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Enrollment Cost Remove
OneShare Complete

Effective Date
ISA (Individual Sharing Amount) Amount
Tier Level
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Designed for those who wish to enroll in a more complete sharing program that serves the needs of individuals and families. *An annual administration fee of $45.00 is due from each primary member upon their program year anniversary.
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Monthly Administration Fee 30

$30.00 per Month

OneShare Application Fee

$125.00 one-time

Product: $155.00
Total $155.00