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Health and Prescription Drug Insurance

Cigna Choice Fund HSA Plan

Changes to plan for 2017:
To ensure compliance with emerging federal and state laws and regulations, beginning January 1, 2017, all medical and prescription drug plans will cover expenses related to gender transition/re-assignment.

Cigna Choice Fund HSA Benefit Summary
Cigna Medical Claim Form

Full-time Employees - Per Pay Period Rates

 

12 Month Employees

10 Month Employees

Employee

$69.34

$90.14

Employee + l

$135.21

$175.78

Family

$197.62

$256.91

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 2017:
To ensure compliance with emerging federal and state laws and regulations, beginning January 1, 2017, all medical and prescription drug plans will cover expenses related to gender transition/re-assignment.


POS Medical Benefits Summary
Out-of-Network Medical Claim Form

Full-time Employees - Per Pay Period Rates

 

12 Month Employees

10 Month Employees

Employee

$77.13

$100.27

Employee + l

$150.41

$195.53

Family

$219.82

$285.77

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 plan for 2017:
To ensure compliance with emerging federal and state laws and regulations, beginning January 1, 2017, all medical and prescription drug plans will cover expenses related to gender transition/re-assignment.

Mail Service Order Form
Prescription Drug Claim Form
Caremark Web site

Kaiser Permanente HMO Plan

Changes to plan for 2017:
To ensure compliance with emerging federal and state laws and regulations, beginning January 1, 2017, all medical and prescription drug plans will cover expenses related to gender transition/re-assignment.

Kaiser Permanente HMO Medical Benefits Summary

 

Full-time Employees - Per Pay Period Rates

 

12 Month Employees

10 Month Employees

Employee

$55.56

$72.23

Employee + l

$111.13

$144.47

Family

$161.14

$209.48

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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