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Health and Prescription Drug Insurance

Cigna Choice Fund HSA Plan

Changes to plan for 2016:

  • Individual out-of-pocket maximum will increase from $1,700 to $3,000
  • Individual+1 out-of-pocket maximum will increase from $3,000 to $5,300
  • Family out-of-pocket maximum will increase from $3,800 to $6,700
Cigna Choice Fund HSA Benefit Summary
Cigna Medical Claim Form

Full-time Employees - Per Pay Period Rates

 

12 Month Employees

10 Month Employees

Employee

$67.00 

$87.10  

Employee + l

$130.64  

$169.84

Family

$190.94  

$248.22

Part-time Staff & Administrators hired before 1/1/93
Part-time Staff & Administrators hired after 1/1/93
Cigna Web site



Cigna POS (Point of Service) Plan

Changes to plan for 2016:

  • Primary Care Physician copays increasing from $15 to $20
  • Specialist copays increasing from $25 to $40
  • Out-of-pocket maximum increasing from $2,500/$6,000 to $3,000/$7,800
  • Individual deductible increasing from $250.00 to $300.00 per person
POS Medical Benefits Summary
Out-of-Network Medical Claim Form

Full-time Employees - Per Pay Period Rates

 

12 Month Employees

10 Month Employees

Employee

$74.52  

$96.88  

Employee + l

$145.32  

$188.92  

Family

$212.39  

$276.11  

Part-time Staff & Administrators hired before 1/1/93
Part-time Staff & Administrators hired after 1/1/93
Cigna web site

 


Caremark Prescription Drug Plan (applies only to Cigna Plans)

Changes to pan for 2016:

  • Penalties will apply when a generic option is available, but a brand name is filled
  • Prescriptions for specialty drugs will be subject to the guideline management program
  • Specialty drugs can only be approved for 30 day fills
Mail Service Order Form
Prescription Drug Claim Form
Caremark Web site

Kaiser Permanente HMO Plan

No changes to plan design for 2016.

Kaiser Permanente HMO Medical Benefits Summary

 

Full-time Employees - Per Pay Period Rates

 

12 Month Employees

10 Month Employees

Employee

$53.03

$68.94

Employee + l

$106.06

$137.88

Family

$153.78

$199.92

Part-time Staff & Administrators hired before 1/1/93
Part-time Staff & Administrators hired after 1/1/93
Kaiser Permanente Website


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