WEEKLY EMPLOYEE PAYROLL CONTRIBUTIONS
Medical/Rx
HSA Open Access Plus
Open Access Plus
Employee
$51.75
$113.90
Employee + spouse
$108.82
$239.53
Employee + child(ren)
$90.30
$198.76
Family
$112.80
$302.50
Dental
Cigna Dental PPO
Employee
$0.50
Employee + spouse
$1.02
Employee + child(ren)
$1.15
Family
$1.74
Vision
Cigna Vision Plan
Employee
$0.09
Employee + spouse
$0.17
Employee + child(ren)
$0.17
Family
$0.27
Note: Additional rate information can be found in your enrollment portal.
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