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Retirees and COBRA Participants Plan Rates

Medical Plans Rates

City of Scottsdale Cigna OAP In-Network

COBRA Cost Disabled Retiree Cost
Participant Only $587.52 $576.00
Participant & Spouse/Partner $1,271.94 $1,247.00
Participant & Children $1,065.90 $1,045.00
Participant & Family $1,826.82 $1,791.00

City of Scottsdale Cigna LocalPlus

COBRA Cost Disabled Retiree Cost
Participant Only $531.42 $521.00
Participant & Spouse/Partner $1,151.58 $1,129.00
Participant & Children $964.92 $946.00
Participant & Family $1,653.42 $1,621.00

City of Scottsdale Cigna OAP

COBRA Cost Disabled Retiree Cost
Participant Only $514.08 $504.00
Participant & Spouse/Partner $1,112.82 $1,091.00
Participant & Children $933.30 $915.00
Participant & Family $1,598.34 $1,567.00

City of Scottsdale Cigna OAP + HSA

COBRA Cost Disabled Retiree Cost
Participant Only $491.64 $482.00
Participant & Spouse/Partner $1,064.88 $1,044.00
Participant & Children $892.50 $875.00
Participant & Family $1,527.96 $1,498.00

Dental Plans Rates

Cigna DHMO Dental Plan

COBRA Cost Disabled Retiree Cost
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

COBRA Cost Disabled Retiree Cost
Participant Only $41.09 $41.09
Participant & Spouse/Partner $90.39 $90.39
Participant & Children $73.95 $73.95
Participant & Family $122.26 $122.26

Vision Plan

COBRA Cost
Participant Only $3.63
Participant & Spouse/Partner $7.26
Participant & Children $7.75
Participant & Family $12.40

* COBRA premiums include a 2% Administrative Fee

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.