Plan Rates for Fiscal Year 2024-25

Medical

COBRA Premiums

COBRA premiums include a 2% Administrative Fee

Cigna OAP In-Network
ElectionCOBRA CostDisabled Retire Cost
Participant Only$855.78$839.00
Participant & Spouse/Partner$1,852.32$1,816.00
Participant & Children$1,552.44$1,522.00
Participant & Family$2,658.12$2,606.00
Cigna LocalPlus
ElectionCOBRA CostDisabled Retire Cost
Participant Only$774.18$759.00
Participant & Spouse/Partner$1,675.86$1,643.00
Participant & Children$1,404.54$1,377.00
Participant & Family$2,407.20$2,360.00
Cigna OAP
ElectionCOBRA CostDisabled Retire Cost
Participant Only$750.72$736.00
Participant & Spouse/Partner$1,624.86$1,593.00
Participant & Children$1,361.70$1,335.00
Participant & Family$2,332.74$2,287.00
Cigna OAP + HSA
ElectionCOBRA CostDisabled Retire Cost
Participant Only$712.98$699.00
Participant & Spouse/Partner$1,545.30$1,51500
Participant & Children$1,294.38$1,269.00
Participant & Family$2,218.50$2,175.00

Dental

Cigna DHMO Dental Plan
ElectionCOBRA CostDisabled Retire Cost
Participant Only$10.61$10.61
Participant & Spouse/Partner$17.38$17.38
Participant & Children$23.76$23.76
Participant & Family$27.88$27.88
Cigna DPPO Dental Plan
ElectionCOBRA CostDisabled Retire Cost
Participant Only$44.70$44.70
Participant & Spouse/Partner$98.31$98.31
Participant & Children$80.44$80.44
Participant & Family$132.99$132.99

Vision

Vision Plan (Basic)
ElectionCOBRA Cost
Participant Only$4.08
Participant & Spouse/Partner$7.14
Participant & Children$8.70
Participant & Family$13.93
Vision Plan (Buy-Up)
ElectionCOBRA Cost
Participant Only$6.33
Participant & Spouse/Partner$12.65
Participant & Children$13.53
Participant & Family$21.62

Produced by Human Resources:

This information represents a summary of benefits provided by the City of Scottsdale to benefited employees. Every effort has been made to report information accurately. All information, including the amount of any benefit and employee eligibility of benefits, is subject to and governed by the terms and conditions of the applicable policy or plan documents. In all cases where any of the information provided differs from the amount of benefit actually provided by the policy or plan, the terms of the legal documents will control.

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Last Updated: Jul 8, 2024

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