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Cigna Scripps Select (HMO) Premiums

Available to all employees

Coverage TypeAnnualMonthlySemi-monthly
(24 pay periods)*
Post-taxPre-tax
Employee only$6,955$579.58$0.00$289.79
Employee & Spouse/Domestic Partner$15,229$1,269.09$0.00$634.55
Employee & Domestic Partner (post-tax)**$15,229$1,269.09$344.76$289.79
Employee & Children$13,215$1,101.27$0.00$550.64
Family$21,144$1,762.03$0.00$881.02
Family (Domestic Partner post-tax)**$21,144$1,762.03$330.38$550.64

* Variances Due to Rounding

**Domestic partners can only be enrolled on a pre-tax basis if they qualify as a tax dependent under IRS guidelines. To enroll your Domestic Partner on a pre-tax basis, submit a Tax Dependent Certification form which can be found on the Flexible Benefits website.