Cigna 2021 Health Plan Rates User Manual

Cigna 2021 Health Plan Rates User Manual

Cigna LOGO

Cigna 2021 health plan rates

Cigna 2021 health plan rates

2021 health plan rates

Amazon shares the cost of health benefits with you. Your cost depends on your work status, the plan you choose, and the dependents you cover. These rates are effective through December 31, 2021.

 Monthly ContributionsWeekly Contributions¹
30 – 40 Hours/WeekPart-Time 20 – 29 Hours/Week30 – 40 Hours/WeekPart-Time 20 – 29 Hours/Week
You Only You +       You +              You + Spouse/ Children Family Domestic

Partner

You Only You +       You +              You + Spouse/ Children Family Domestic

Partner

You Only You +       You +       You + Spouse/ Children Family Domestic

Partner

You Only You +       You +              You + Spouse/ Children Family Domestic

Partner

MEDICAL PLANS

Shared Deductible Plan Standard Plan

Health Savings Plan

In-Network Only Plan Kaiser HMO

(CA, CO, DC, MD, VA, WA)

 

$33.00 $225.00 $184.00 $374.00

 

$49.50 $337.50 $276.00 $561.00

 

$7.62     $51.92     $42.46     $86.31

 

$11.42     $77.88     $63.69 $129.46

$91.00 $324.00 $253.00 $477.00$136.50 $486.00 $379.50 $715.50$21.00     $74.77     $58.38 $110.08$31.50 $112.15      $87.58 $165.12
$33.00 $225.00 $184.00 $374.00$49.50 $337.50 $276.00 $561.00$7.62     $51.92     $42.46     $86.31$11.42     $77.88     $63.69 $129.46
$107.00 $410.00 $321.00 $597.00$160.50 $615.00 $481.50 $895.50$24.69     $94.62     $74.08 $137.77$37.04 $141.92 $111.12 $206.65
$110.00 $338.00 $298.00 $499.00$165.00 $507.00 $447.00 $748.50$25.38     $78.00     $68.77 $115.15$38.08 $117.00 $103.15 $172.73
DENTAL PLANS

Enhanced

 

Basic

 

$9.00     $46.00     $46.00     $73.00

 

$13.50     $69.00     $69.00 $109.50

 

$2.08     $10.62     $10.62     $16.85

 

$3.12     $15.92     $15.92 $25.27

$3.00     $28.00     $28.00     $44.00$4.50     $42.00     $42.00             $66.00$0.69       $6.46       $6.46     $10.15$1.04       $9.69       $9.69  $15.23
VISION PLANS

Enhanced

 

Basic

 

$16.00     $32.00     $30.00              $46.00

 

$17.00     $34.00     $32.00              $47.00

 

$3.69       $7.38       $6.92     $10.62

 

$3.92       $7.85       $7.38  $10.85

$4.00       $8.00       $8.00     $12.00$6.00     $12.00     $10.00             $16.00$0.92       $1.85       $1.85       $2.77$1.38       $2.77       $2.31              $3.69

 

Documents / Resouces

Download manual
Here you can download full pdf version of manual, it may contain additional safety instructions, warranty information, FCC rules, etc.


Related Manuals