HealthCare
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2024 Healthcare Options
ALL EMPLOYEES MUST COMPLETE THIS FORM EACH YEAR.
Please see the booklet issued upon hire or the benefit summary sheet for all of your benefits offered
Sovereign has met all requirements under the Affordable Healthcare Act for the plan year and we offer an affordable healthcare plan as required. The option marked CIGNA PPO Value Plan (Meets ACA requirements) qualifies as the Affordable Qualified Plan. All Plans are provided by Angle Health utilizing the CIGNA Health care network.
SCS Summary Benefit Sheet 2024
| Contributions are pre tax and per pay check, not per week. | Choice #1 $7,350 DED CIGNA PPO Value Plan (meets value plan for Single) | Choice #2 CIGNA PPO TRAD 5000 | Choice #3 CIGNA PPO TRAD 3000 (Most similar to the current PPO and HMO plans)
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| In Network Deductible | $7,350/$14,700 | $5,000/$10,000 | $3,000/$6,000 |
| In Network Co Insurance | 100% | 20% | 20% |
| Co-Pays: PRE/PCP/SCP/UC/ER | $0/$35/$75/$35/$250+DED | $0/$25/$75/$85/$300+DED | $0/$20/$50/$75/$250+DED |
| Max. Out of Pocket | $9,100/$18,200 | $7,000/$14,000 | $5,000/$10,000 |
| Rx Plan | $25/$50/$70/Specialty DED/COINS | $20/$60/$85/20% | $20/$30/$100/50% |
| Single | $97.50 | $187.70 | $203.91 |
| Employee & Spouse | $624.83 | $563.10 | $627.96 |
| Employee/Child | $660.95 | $600.64 | $668.74 |
| Employee/Children | $660.95 | $600.64 | $668.74 |
| Family | $1,130.46 | $1,088.66 | $1,198.92 |