<thead>
<tr class="footable-header">
                                                                        <th scope="col"  class="ninja_column_0 ninja_clmn_nm_ninja_column_1 "></th><th scope="col" colspan="2" class="ninja_column_1 ninja_clmn_nm_basicplan ">Basic Plan</th><td class="ninja_temp_cell"></td><th scope="col" colspan="2" class="ninja_column_3 ninja_clmn_nm_buy_up_plan ">Buy-up Plan</th><td class="ninja_temp_cell"></td></tr>
</thead>
<tbody>

        <tr data-row_id="194" class="ninja_table_row_0 nt_row_id_194">
            <td> </td><td colspan="2"><center><b>Basic Plan</td><td class="ninja_temp_cell" data-colspan="#colspan#"></td><td colspan="2"><center><b>Buy-up Plan</td><td class="ninja_temp_cell" data-colspan="#colspan#"></td>        </tr>
            <tr data-row_id="195" class="ninja_table_row_1 nt_row_id_195">
            <td></td><td><center><b>PPO</td><td><center><b>Premier</td><td><center><b>PPO</td><td><center><b>Premier</td>        </tr>
            <tr data-row_id="196" class="ninja_table_row_2 nt_row_id_196">
            <td><b>In-network</td><td></td><td></td><td></td><td></td>        </tr>
            <tr data-row_id="197" class="ninja_table_row_3 nt_row_id_197">
            <td><b>Individual/Family Deductible</td><td>$25/$75</td><td>$50/$150</td><td>$25/$75</td><td>$50/$150</td>        </tr>
            <tr data-row_id="198" class="ninja_table_row_4 nt_row_id_198">
            <td><b>Annual Maximum Benefit</td><td>$750</td><td>$750</td><td>$1,500</td><td>$1,500</td>        </tr>
            <tr data-row_id="199" class="ninja_table_row_5 nt_row_id_199">
            <td><b>Services</b><br><br>  Preventive<br><br>  Basic<br><br><br>  <br>Major<br></td><td><br><br>You pay $0<br><br>  You pay 20%,<br>  plan pays 80%<br><br><br>  Not covered</td><td><br><br>You pay $0<br><br>  You pay 30%,<br> plan pays 70%<br><br><br>  Not covered</td><td><br><br>You pay $0<br><br>  You pay 10%,<br> plan pays 90%<br>  <br>You pay 40%,<br> plan pays 60%</td><td><br><br>You pay $0<br><br>  You pay 20%,<br> plan pays 80%<br>  <br>You pay 50%,<br> plan pays 50%</td>        </tr>
            <tr data-row_id="200" class="ninja_table_row_6 nt_row_id_200">
            <td><b>Orthodontia Coinsurance/ Lifetime Maximum (Dependent children up to age 26 only)</td><td colspan="2">Not covered</td><td class="ninja_temp_cell" data-colspan="#colspan#"></td><td colspan="2">50%/$1,500</td><td class="ninja_temp_cell" data-colspan="#colspan#"></td>        </tr>
            <tr data-row_id="201" class="ninja_table_row_7 nt_row_id_201">
            <td colspan="5"><b>Out-of-Network:</b> For coverage details refer to the <a href="https//www.owens-minor.mybenefitport.com/documents"><span style="color: #872434;"><b>Documents Library</a></td><td class="ninja_temp_cell" data-colspan="#colspan#"></td><td class="ninja_temp_cell" data-colspan="#colspan#"></td><td class="ninja_temp_cell" data-colspan="#colspan#"></td><td class="ninja_temp_cell" data-colspan="#colspan#"></td>        </tr>
    </tbody><!--ninja_tobody_rendering_done-->
