> Home > Human Resources > Benefits Information > Retirees and COBRA Participants

Retirees and COBRA Participants

RATES

Monthly Benefits Premium Chart
MEDICAL PLANS COBRA Cost Disabled Retiree Cost
City of Scottsdale Cigna OAP + HSA
Participant Only $405.96  $398.00
Participant  & Spouse/Partner $876.18  $859.00
Participant  & Children $734.40  $720.00
Participant  & Family $1,257.66  $1,233.00
 
City of Scottsdale OAP In-Network
Participant  Only $486.54  $477.00
Participant & Spouse/Partner $1,051.62  $1,031.00
Participant & Children $881.28  $864.00
Participant & Family $1,509.60  $1,480.00
 
City of Scottsdale Cigna OAP
Participant Only $425.34  $417.00
Participant  & Spouse/Partner $919.02  $901.00
Participant  & Children $770.10  $755.00
Participant  & Family $1,318.86  $1,293.00
DENTAL PLANS COBRA Cost  
Cigna DHMO Dental Plan
Participant Only $9.24  $9.24
Participant & Spouse/Partner $15.18  $15.18
Participant & Children $20.71  $20.71
Participant & Family $24.32  $24.32
 
Cigna DPPO Dental Plan
Participant Only $38.76  $38.76
Participant & Spouse/Partner $85.27  $85.27
Participant & Children $69.77  $69.77
Participant & Family $115.32  $115.32
VISION PLAN COBRA Cost
Participant Only $5.67  
Participant & Spouse/Partner $11.32  
Participant & Children $12.12  
Participant & Family  $19.36
* COBRA premiums include a 2% Administrative Fee

This guide 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 in this guide differs from the amount of benefit actually provided by the policy or plan, the terms of the legal documents will control.