Page 16 - Harvard Maintenance HSS 2022 Benefits Guide
P. 16
Calendar Year 2022
Benefits Enrollment
Monthly Plan Rates
Plan Employee Cost
Cigna Open Access Plus (PPO) Plan
Employee Only $271 .42
Employee + Spouse $597 .79
Employee + Child(ren) $498 .15
Employee + Family $868 .21
Cigna Open Access Plus HDHP Plan
Employee Only $173 .02
Employee + Spouse $387 .56
Employee + Child(ren) $322 .97
Employee + Family $562 .89
Dental
Employee Only $0
Employee + Spouse $0
Employee + Child(ren) $0
Employee + Family $0
Vision
Employee Only $4 .94
Employee + Spouse $9 .37
Employee + Child(ren) $9 .86
Employee + Family $14 .50
16
Benefits Enrollment
Monthly Plan Rates
Plan Employee Cost
Cigna Open Access Plus (PPO) Plan
Employee Only $271 .42
Employee + Spouse $597 .79
Employee + Child(ren) $498 .15
Employee + Family $868 .21
Cigna Open Access Plus HDHP Plan
Employee Only $173 .02
Employee + Spouse $387 .56
Employee + Child(ren) $322 .97
Employee + Family $562 .89
Dental
Employee Only $0
Employee + Spouse $0
Employee + Child(ren) $0
Employee + Family $0
Vision
Employee Only $4 .94
Employee + Spouse $9 .37
Employee + Child(ren) $9 .86
Employee + Family $14 .50
16
