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Cigna Scripps Select (HMO) Premiums

Coverage Type Annual Monthly Semi-monthly
(24 pay periods)*
Post-tax Pre-tax
Employee only $6,750 $562.53 $0.00 $281.26
Employee & Spouse/Domestic Partner $14,781 $1,231.74 $0.00 $615.87
Employee & Domestic Partner (non-dependent) $14,781 $1,231.74 $334.61 $281.26
Employee & Children $12,826 $1,068.87 $0.00 $534.43
Employee & Spouse & Children $20,522 $1,710.18 $0.00 $855.09
Employee & Domestic Partner & Children (non-dependent) $20,522 $1,710.18 $320.66 $534.43

* Variances Due to Rounding