Page 7 - Artemis Brochure 2021_Updated Feb 2021
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Artemis Health
2021 Employee Benefits Brochure
Employee Contributions
Your contributions toward the cost of benefits are automatically deducted from your paycheck on a pre- tax basis.
The rates below are monthly. The amount will depend on the plan you select and if you choose to cover eligible family
members.
Medical Contributions
Cigna HSA Cigna PPO
Employee only $0.00 Employee only $142.54
Employee + spouse $0.00 Employee + spouse $320.71
Employee + child(ren) $0.00 Employee + child(ren) $306.46
Employee + family $0.00 Employee + family $441.89
Dental Contributions
Cigna Dental PPO Option 1 – No Ortho Cigna Dental PPO Option 2 – Ortho
Employee only $0.00 Employee only $4.72
Employee + spouse $0.00 Employee + spouse $9.61
Employee + child(ren) $0.00 Employee + child(ren) $10.27
Employee + family $0.00 Employee + family $16.17
Vision Contributions
VSP Contributions
Employee only $8.03
Employee + spouse $16.09
Employee + child(ren) $13.62
Employee + family $22.46
Important Contacts
Phone Website
Cigna (Medical H.S.A) 1-800-244-6224 www.cigna.com
Cigna (Medical PPO) 1-800-244-6224 www.cigna.com
Cigna (Dental) 1-800-244-6224 www.cigna.com
www.vsp.com
VSP (Vision) 1-800-877-7195 www.principal.com
Principal (Life, LTD, & STD) 1-800-245-1522
Principal EAP 1-800-450-1327 www.MagellanHealth.com/member
www.HealthEquity.com
HealthEquity (H.S.A) account 1-866-346-5800
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