Page 20 - 2018 Franke Enrollment
P. 20
Monthly Critical Illness Premiums
You will make your elections for this beneit using the online Cigna Guided Solutions enrollment platform and
premiums will be calculated for you based on your age and tobacco status as indicated by the tobacco status you
enter in Cigna Guided Solutions.
Non-Tobacco Tobacco
$10,000 Employee/$5,000 Spouse/$2,500 Child(ren) $10,000 Employee/$5,000 Spouse/$2,500 Child(ren)
Attained Employee Employee + Employee Attained Employee Employee + Employee
age Employee + spouse child(ren) + family age Employee + spouse child(ren) + family
0–24 $4.72 $8.14 $5.00 $8.42 0–24 $5.72 $9.64 $6.00 $9.92
25–29 $5.32 $9.14 $5.60 $9.42 25–29 $6.92 $11.74 $7.30 $12.02
30–34 $6.52 $11.44 $6.80 $11.72 30–34 $9.52 $16.34 $9.80 $16.62
35–39 $9.52 $15.84 $9.80 $16.12 35–39 $16.12 $26.14 $16.40 $26.42
40–44 $12.02 $20.14 $12.30 $20.42 40–44 $21.72 $35.54 $22.00 $35.82
45–49 $16.92 $28.64 $17.20 $28.92 45–49 $33.02 $54.94 $33.30 $55.22
50–54 $26.02 $41.64 $26.30 $41.92 50–54 $49.92 $79.84 $50.20 $80.12
55–59 $37.02 $58.14 $37.30 $58.42 55–59 $69.92 $109.64 $70.20 $109.92
60–64 $49.32 $76.74 $49.60 $77.02 60–64 $89.22 $138.84 $89.50 $139.12
65–69 $61.12 $94.34 $61.40 $94.62 65–69 $101.32 $159.74 $101.60 $160.02
70–74 $84.72 $142.04 $85.00 $142.42 70–74 $134.12 $229.94 $134.50 $230.32
75–79 $117.92 $189.64 $118.30 $189.92 75–79 $165.52 $277.04 $165.90 $277.32
80–84 $152.52 $217.94 $152.80 $218.22 80–84 $203.62 $311.44 $203.90 $311.72
85+ $201.22 $323.44 $201.50 $323.82 85+ $240.92 $393.84 $241.20 $394.12
Non-Tobacco Tobacco
$20,000 Employee/$10,000 Spouse/$5,000 Child(ren) $20,000 Employee/$10,000 Spouse/$5,000 Child(ren)
Attained Employee Employee Employee + Employee Attained Employee Employee Employee + Employee
age + spouse child(ren) + family age + spouse child(ren) + family
0–24 $7.62 $12.64 $8.10 $13.12 0–24 $9.62 $15.64 $10.10 $16.12
25–29 $8.82 $14.64 $9.30 $15.12 25–29 $12.02 $19.84 $12.70 $20.32
30–34 $11.22 $19.24 $11.70 $19.72 30–34 $17.22 $29.04 $17.70 $29.52
35–39 $17.22 $28.04 $17.70 $28.52 35–39 $30.42 $48.64 $30.90 $49.12
40–44 $22.22 $36.64 $22.70 $37.12 40–44 $41.62 $67.44 $42.10 $67.92
45–49 $32.02 $53.64 $32.50 $54.12 45–49 $64.22 $106.24 $64.70 $106.72
50–54 $50.22 $79.64 $50.70 $80.12 50–54 $98.02 $156.04 $98.50 $156.52
55–59 $72.22 $112.64 $72.70 $113.12 55–59 $138.02 $215.64 $138.50 $216.12
60–64 $96.82 $149.84 $97.30 $150.32 60–64 $176.62 $274.04 $177.10 $274.52
65–69 $120.42 $185.04 $120.90 $185.52 65–69 $200.82 $315.84 $201.30 $316.32
70–74 $167.62 $280.44 $168.10 $281.12 70–74 $266.42 $456.24 $267.10 $456.92
75–79 $234.02 $375.64 $234.70 $376.12 75–79 $329.22 $550.44 $329.90 $550.92
80–84 $303.22 $432.24 $303.70 $432.72 80–84 $405.42 $619.24 $405.90 $619.72
85+ $400.62 $643.24 $401.10 $643.92 85+ $480.02 $784.04 $480.50 $784.52
20 2018 Benefits Enrollment
You will make your elections for this beneit using the online Cigna Guided Solutions enrollment platform and
premiums will be calculated for you based on your age and tobacco status as indicated by the tobacco status you
enter in Cigna Guided Solutions.
Non-Tobacco Tobacco
$10,000 Employee/$5,000 Spouse/$2,500 Child(ren) $10,000 Employee/$5,000 Spouse/$2,500 Child(ren)
Attained Employee Employee + Employee Attained Employee Employee + Employee
age Employee + spouse child(ren) + family age Employee + spouse child(ren) + family
0–24 $4.72 $8.14 $5.00 $8.42 0–24 $5.72 $9.64 $6.00 $9.92
25–29 $5.32 $9.14 $5.60 $9.42 25–29 $6.92 $11.74 $7.30 $12.02
30–34 $6.52 $11.44 $6.80 $11.72 30–34 $9.52 $16.34 $9.80 $16.62
35–39 $9.52 $15.84 $9.80 $16.12 35–39 $16.12 $26.14 $16.40 $26.42
40–44 $12.02 $20.14 $12.30 $20.42 40–44 $21.72 $35.54 $22.00 $35.82
45–49 $16.92 $28.64 $17.20 $28.92 45–49 $33.02 $54.94 $33.30 $55.22
50–54 $26.02 $41.64 $26.30 $41.92 50–54 $49.92 $79.84 $50.20 $80.12
55–59 $37.02 $58.14 $37.30 $58.42 55–59 $69.92 $109.64 $70.20 $109.92
60–64 $49.32 $76.74 $49.60 $77.02 60–64 $89.22 $138.84 $89.50 $139.12
65–69 $61.12 $94.34 $61.40 $94.62 65–69 $101.32 $159.74 $101.60 $160.02
70–74 $84.72 $142.04 $85.00 $142.42 70–74 $134.12 $229.94 $134.50 $230.32
75–79 $117.92 $189.64 $118.30 $189.92 75–79 $165.52 $277.04 $165.90 $277.32
80–84 $152.52 $217.94 $152.80 $218.22 80–84 $203.62 $311.44 $203.90 $311.72
85+ $201.22 $323.44 $201.50 $323.82 85+ $240.92 $393.84 $241.20 $394.12
Non-Tobacco Tobacco
$20,000 Employee/$10,000 Spouse/$5,000 Child(ren) $20,000 Employee/$10,000 Spouse/$5,000 Child(ren)
Attained Employee Employee Employee + Employee Attained Employee Employee Employee + Employee
age + spouse child(ren) + family age + spouse child(ren) + family
0–24 $7.62 $12.64 $8.10 $13.12 0–24 $9.62 $15.64 $10.10 $16.12
25–29 $8.82 $14.64 $9.30 $15.12 25–29 $12.02 $19.84 $12.70 $20.32
30–34 $11.22 $19.24 $11.70 $19.72 30–34 $17.22 $29.04 $17.70 $29.52
35–39 $17.22 $28.04 $17.70 $28.52 35–39 $30.42 $48.64 $30.90 $49.12
40–44 $22.22 $36.64 $22.70 $37.12 40–44 $41.62 $67.44 $42.10 $67.92
45–49 $32.02 $53.64 $32.50 $54.12 45–49 $64.22 $106.24 $64.70 $106.72
50–54 $50.22 $79.64 $50.70 $80.12 50–54 $98.02 $156.04 $98.50 $156.52
55–59 $72.22 $112.64 $72.70 $113.12 55–59 $138.02 $215.64 $138.50 $216.12
60–64 $96.82 $149.84 $97.30 $150.32 60–64 $176.62 $274.04 $177.10 $274.52
65–69 $120.42 $185.04 $120.90 $185.52 65–69 $200.82 $315.84 $201.30 $316.32
70–74 $167.62 $280.44 $168.10 $281.12 70–74 $266.42 $456.24 $267.10 $456.92
75–79 $234.02 $375.64 $234.70 $376.12 75–79 $329.22 $550.44 $329.90 $550.92
80–84 $303.22 $432.24 $303.70 $432.72 80–84 $405.42 $619.24 $405.90 $619.72
85+ $400.62 $643.24 $401.10 $643.92 85+ $480.02 $784.04 $480.50 $784.52
20 2018 Benefits Enrollment
