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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.