Out-of-network reimbursements and maximums are based on Reasonable and Customary (R&C) charges as determined by the health plan administrator.
You and the Firm share the cost of your Dental Plan coverage. Your contributions are deducted from your pay on a before-tax basis.
Note: Your location and salary band are used to calculate only your medical contribution rates.
The costs shown below are per paycheck contributions. For the monthly cost, double the amounts shown.
|Yourself Only||Yourself + Spouse/Domestic Partner||Yourself + Children||Yourself + Family|
|Cigna Global Dental Plan||$33.33||$66.58||$66.58||$99.92|
If you are covering a domestic partner or the children of a domestic partner, the IRS determines the tax status of a dependent and may impose a tax on the value of coverage. Consult your tax advisor for more information.