Page 13 - 2022 SoFi - August Open Enrollment

Cigna OAP/PPO HDHP with HSA

Medical Plan

The Cigna OAP/PPO HDHP HSA plan is a High Deductible Health Plan (HDHP) that may be coordinated with a
Health Savings Account (HSA). HDHP medical plans have higher than average deductibles, for which all services
(except for preventive care) are subject to the deductible. Office visits, prescriptions, surgeries, emergency room
visits, etc. are all subject to the deductible. This means an employee must meet the individual deductible before
any services are paid by Cigna. After each eligible family member meets their individual deductible, covered
expenses for that family member will be paid based on the coinsurance level specified by the plan. Or, after the
family deductible has been met, covered expenses for each eligible family member will be paid based on the
coinsurance level specified by the plan.

If you enroll in the HDHP, you may also be eligible to enroll in a Health Savings Account through Cigna. Employees
who elect the Cigna OAP/PPO HDHP with HSA account will receive a SoFi contribution of $800 annually for
employee only coverage or $1,600 annually if you enroll one or more dependents. Please see page 15 for more
information on HSAs.

Utah Employees: This plan includes most Intermountain Healthcare (IHC) network providers and facilities.

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