SAMBA HEALTH BENEFIT PLAN FOR 2009
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HIGH OPTION
Enjoy generous benefits and low out-of-pocket costs. Click here for a summary of benefits.
STANDARD OPTION
Essential benefits, including preventive dental care, and low premiums.
Click here for a summary of benefits.
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- Find a provider through CIGNA's Online Provider Directory or call CIGNA at 1-800-887-9735.
- Find a Quest Lab -- When you use a Quest Labs facility, or your doctor sends your lab work to Quest, you pay nothing.
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PLAN PREMIUMS
| Standard Option |
Employee Biweekly |
Annuitant Monthly |
| Self Only (code 444) |
$47.29 |
$102.46 |
| Self & Family (code 445) |
$108.00 |
$234.00 |
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| High Option |
Employee Biweekly |
Annuitant Monthly |
| Self Only (code 441) |
$97.89 |
$212.10 |
| Self & Family (code 442) |
$244.56 |
$529.88 |
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