EMPLOYEE CONTRIBUTIONS

Effective July 1, 2024

MEDICAL

Cigna OAP $2,000 (Base Plan)

Enrollment Tier	Employee Bi-Weekly Payroll Deductions
Employee	$0.00
Employee + Spouse	$151.88
Employee + Child	$123.70
Family	$201.93

Cigna OAP $1,000 (Middle Plan)

Enrollment Tier	Employee Bi-Weekly Payroll Deductions
Employee	$30.35
Employee + Spouse	$188.98
Employee + Child	$153.76
Family	$248.45

Cigna OAP $500 (High Plan)

Enrollment Tier	Employee Bi-Weekly Payroll Deductions
Employee	$36.99
Employee + Spouse	$206.42
Employee + Child	$167.31
Family	$269.70

DENTAL

Cigna Dental PPO - Low Plan

Enrollment Tier	Employee Bi-Weekly Payroll Deductions
Employee	$0.00
Employee + Spouse	$5.25
Employee + Child	$5.25
Family	$5.25

Cigna Dental PPO - High Plan

Enrollment Tier	Employee Bi-Weekly Payroll Deductions
Employee	$2.00
Employee + Spouse	$12.40
Employee + Child	$12.40
Family	$12.40

VISION

Cigna Vision Plan

Vision Contributions are included in Medical Coverage.

Life & Disability

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