Connect Sign In
Important Information
- 2025 Summary of Benefits - Medical 750
- Allegiance Summary Plan Description
- $750 individual deductible, $1,500 deductible for a family
- Cigna Network
- University of Utah, MountainStar, and CommonSpirit hospitals included
- Deductible waived for in-network and out-of-network mental health office visits
- Accidental injury: first $1,000 paid
- Pharmacy: Kroger
- HealthJoy app: online telemedicine, virtual benefits wallet, and other features!
Resources
Open Access Plus, OA Plus, Choice Fund OA Plus
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 or the Medical 1500 Plan.
Medical Rates
| 2025 | Full Time (30+ Hours/Week) | Part Time (20–29 Hours/Week) | Surcharge for Tobacco Use |
| Medical 750 Plan (Cost Per Month) | |||
| Employee | $173 | $277 | +$90 |
| Employee + 1 Child | $367 | $573 | +$90 |
| Employee + Spouse | $367 | $573 | +$90 |
| Employee + Children | $530 | $852 | +$90 |
| Employee + Family | $530 | $852 | +$90 |
Medical Plans
| 2025 | Medical 750 | ||
| Type of Service | Network Providers | Non-Network Providers | |
| Calendar Year Deductible | $750 per individual / $1,500 per family | ||
| Coinsurance | 75% insurance / 25% member | 55% insurance / 45% member | |
| Calendar Year Out-of-Pocket Maximum (Includes deductible, coinsurance, copayments, and pharmacy) | $5,000 per individual / $10,000 per family | ||
| Lifetime Maximum | Unlimited | ||
COBRA Rates
| 2025 | |
| Medical 750 Plan (Cost Per Month) | |
| Employee | $654 |
| Employee + 1 Child | $1,386 |
| Employee + Spouse | $1,386 |
| Employee + Children | $2,002 |
| Employee + Family | $2,002 |
| Family Health Clinic | |
| Employee | $267 |
| Employee + 1 Child | $531 |
| Employee + Spouse | $531 |
| Employee + Children | $799 |
| Employee + Family | $799 |
