Archive: Premier 1500 - 2020

Open Access Plus, OA Plus, Choice Fund OA Plus

  • $1500 individual deductible - $3000 for family
  • Cigna Network
  • University of Utah, Mountain Star and Steward hospitals included
  • Out of network provider option ( you may be balanced billed )
  • Pharmacy: Navitus
  • Health Joy app: online telemedicine, virtual benefits wallet and other features!

Links

Medical Plans

Medical Plans

2021

Medical 1500

Type of Service

Network Providers

Non-Network Providers

Calendar Year Deductible $1500 Individual / $3000 Family
Coinsurance 85% Insurance /
15% Member
65% Insurance /
35% Member
Calendar Year Out of Pocket Maximum
(Includes Deductible, Coinsurance, Copayments, and Pharmacy)

$4,000 per Individual / $8,000 per Family
Lifetime Maximum Unlimited
Providers

Cigna Network is our national network, with providers located throughout the United States. This network is available if you have selected the Medical 750 Plan, Medical 1500 Plan and the HDHP.

Cigna Network

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Medical Rates

Medical Rates

2021

Full Time
30+ Hours/Week
Part Time
20-29 Hours/Week
Surcharge for No PHP Surcharge for Tobacco Use

Medical 1500 Plan (Cost per month)

Employee $35 $70 +$50 +$60
Employee + 1 Child $60 $136 +$50 +$60
Employee + Spouse $60 $136 +$100 +$60
Employee + Children $86 $206 +$50 +$60
Employee + Family $86 $206 +$100 +$60
COBRA Rates

COBRA Rates

2021

COBRA

Medical 750 Plan (Cost per month)

Employee $406.98
Employee + 1 Child $871.08
Employee + Spouse $871.08
Employee + Children $1,258.68
Employee + Family $1,258.68

Employee Clinic

Employee $150
Employee + 1 Child $300
Employee + Spouse $300
Employee + Children $450
Employee + Family $450
Resources