Common use of Option 1 Clause in Contracts

Option 1. Employees may choose to enroll in the Cigna Open Access Plus (OAP) plan that allows for in network and out of network coverage. The employee price tag will be 19% of the annual premium through December 31, 2016 according to the schedule in Appendix B, (20% for those hired on or after January1, 2013); 20% as of January 1, 2017; 20% as of January 1, 2018; 22% as of January 1, 2019; 24% as of January 1, 2020; and 25% as of January 1, 2021. Beginning January 1, 2013, through December 31, 2021, the prescription co-pay structure shall be as follows: Cigna OAP: Retail – up to a 30 day supply - $10 for generic; $20 for formulary; $35 for non-formulary; Mail Order: - 90 day supply of maintenance prescriptions - $20 for generic; $40 for formulary; $70 for non-formulary. Also, the hospital emergency room co-pay will be $70 per visit and is waived if admitted.

Option 1. Employees may choose to enroll in the Cigna Open Access Plus (OAP) plan that allows for in network and out of network coverage. The employee price tag will be 19% of the annual premium through December 31, 2016 according to the schedule in Appendix BB-1, (20% for those hired on or after January1, 2013); 20% as of January 1, 2017; 20% as of January 1, 2018; 22% as of January 1, 2019; 24% as of January 1, 2020; and 25% as of January 1, 2021. Beginning January 1, 2013, 2013 through December 31, 2021, the prescription co-pay structure shall be as follows: Cigna OAP: Retail – up to a 30 day supply - $10 for generic; $20 for formulary; $35 for non-formulary; Mail Order: - 90 day supply of maintenance prescriptions - $20 for generic; $40 for formulary; $70 for non-formulary. Also, the hospital emergency room co-pay will be $70 per visit and is waived if admitted.

Option 1. Employees may choose to enroll in the Cigna Open Access Plus (OAP) plan that allows for in network and out of network coverage. The employee price tag will be 19% of the annual premium through December 31, 2016 2016, according to the schedule in Appendix B, (20% for those hired on or after January1, 2013); 20% as of January 1, 2017; 20% as of January 1, 2018; 22% as of January 1, 2019; 24% as of January 1, 2020; and 25% as of January 1, 2021. Beginning January 1, 2013, through December 31, 20212023, the prescription co-pay structure shall be as follows: Cigna OAP: Retail – up to a 30 day supply - $10 for generic; $20 for formulary; $35 for non-formulary; Retail – up to a 90-day supply - $30 for generic; $60 for formulary; $105 for non-formulary; Mail Order: - 90 day supply of maintenance prescriptions - $20 for generic; $40 for formulary; $70 100 for non-non- formulary. Also, the hospital emergency room co-pay will be $70 100 per visit and is waived if admitted.