Page 83 - Benefits Summary 2018-2019
P. 83

Hercules Living


                                      Bi-Weekly



                                            Rates









                                Individual  Employee     Employee     Employee       Family
              Plans Offered:
                                               &            &            &
                                              Child      Children     Spouse or
                                                                    Domestic Partner




                Cigna H.S.A     $0.00       $146.27      $146.27      $249.40       $370.51







                Cigna HMO       $63.68      $253.82      $253.82      $412.50       $697.29





                 Cigna POS      $143.75     $338.26      $338.26      $480.59       $893.33






               Avesis Vision     $2.65       $5.02        $5.88        $5.02         $8.28






               Cigna Dental      $7.07      $13.45       $21.96       $13.45         $21.96




                        *All other benefit plan rates are based on salary, age, or
                                               plan coverage.
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