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Plan Description
Cigna > Voluntary AD&D Plan
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Note: This page contains a brief summary of coverage. It does not
state all provisions and limitations of the plan. The terms and provisions of
each plan, as outlined in the plan document, will determine coverage and
eligibility.
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General Plan Information
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Benefit Amount
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$1,000
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Maximum Base Benefit
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$5,000
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Seatbelt Benefit
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Included
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Airbag Benefit
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Included
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Travel Assistance Program
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Included
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Portability
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Included
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Other Examples
Waiting Period Information
Eligible employees are eligible as of the 1st of the month following the employee's hire date.
Termination of Coverage Information
When a plan participant is terminated from the company, the plan coverage ends on the last day of the month following the employee's termination date.
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(per month)
Base Plan Rate: Employee contributes 5% per month.
Per $1,000 of benefit. (see rates below)
Age Band
Structure
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Coverage Rates
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Male
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Female
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Smoker
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Non-Smoker
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Smoker
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Non-Smoker
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0-14
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$2
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$2
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$2
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$2
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15-19
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$2
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$2
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$2
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$2
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20-24
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$2
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$2
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$2
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$2
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21-29
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$2
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$2
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$2
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$2
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30-34
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$2
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$2
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$2
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$2
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35-39
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$2
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$2
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$2
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$2
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40-44
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$2
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$2
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$2
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$2
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45-49
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$2
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$2
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$2
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$2
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50-54
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$2
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$2
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$2
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$2
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55-59
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$2
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$2
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$2
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$2
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60-64
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$2
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$2
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$2
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$2
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65 and over
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$2
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$2
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$2
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$2
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Other examples
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Cigna
http://www.cigna.com
Member Services
John Carpet
One Chase Manhattan Plaza
New York, NY 10005
212-859-7233
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