Cigna Scripps Select (HMO) Premiums
Available to all employees
| Coverage Type | Annual | Monthly | Semi-monthly (24 pay periods)* | ||
|---|---|---|---|---|---|
| Post-tax | Pre-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.