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P. 11
Monthly Benefit Cost
Total Cost
Employer Contribution
Employee Contribution
Employee
$572.58
$465.91
$106.67
Employee & Spouse
Employee & Child(ren)
$1,259.67
$815.80
$443.87
$1,030.64
$752.37
$278.27
Family
$1,717.73
$1,156.26
$561.47
IMPORTANT
For complete details about the medical benefits coverage, cost, and limitations please read the Medical Summary Plan Description in its entirety by clicking on each icon below.
Medical Information
Medical Information
Medical Information
Medical Information
Medical Summary Plan Description
Cigna Plan Options and Resources
Summary of Benefits & Coverage (Wellness Version) Summary of Benefits & Coverage (Non-Wellness Version)
Additional Cigna coverage information may be found at the following link: Human Resources/Medical under the Summary of Benefits heading.
BPS Employee Benefits Guide | 11
HEALTH & WELLNESS

