Employee Only Employee + Employee + Family Spouse Child(ren) Medical – Cigna $84.69 $211.73 $211.73 $296.43 OAP Medical – Cigna $61.57 $184.71 $184.71 $258.59 CDHP Benefit Dental $6.16 $12.32 $12.32 $20.95 Vision $1.06 $1.53 $1.53 $2.76 Costs Basic Life & CIEE pays 100% of the cost of this benefit Disability Voluntary Life 100% employee funded. Monthly premium rates will vary based on age & elected amount Flexible Spending 100% employee funded 33 Account (FSA)