Bi-Weekly Plan Costs

Cigna HSA Open Access Plus

Employee Only: $41.48

Employee and Spouse/DP: $413.03

Employee and Child(ren): $370.97

Employee and Family: $597.49

Cigna PPO Open Access Plus

Employee Only: $75.11

Employee and Spouse/DP: $559.28

Employee and Child(ren): $502.35

Employee and Family: $808.46

Cigna HMO

Employee Only: $69.24

Employee and Spouse/DP: $524.87

Employee and Child(ren): $505.22

Employee and Family: $813.08

Cigna Voluntary Dental PPO

Employee Only: $17.79

Employee and Spouse/DP: $34.98

Employee and Child(ren): $31.22

Employee and Family: $48.41

Cigna Voluntary Vision

Employee Only: $2.52

Employee and Spouse/DP: $5.04

Employee and Child(ren): $5.70

Employee and Family: $8.81

Domestic Partner Coverage

Please note that unless your domestic partner is your tax dependent as defined by the IRS, contributions for domestic partner coverage must be made after-tax. Similarly, the company contribution toward coverage for your domestic partner and his/her dependents will be reported as taxable income on your W-2. Contact your tax advisor for more details on how this tax treatment applies to you. Notify BOX Partners if your domestic partner is your tax dependent.