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SUMMARY OF BENEFITS PLAN INFORMATION - Cigna

888306 n 05/22 SUMMARY OF BENEFITS plan INFORMATIONC igna dental 1000 Plan1. Cigna internal data as of May 2022. Subject to For each additional eligible dependent, as defined by the policy, added to a primary policy, a 15% discount is applied to the standard rate. discount is applied in the quote View dental Benefit details on page 3 for applicable waiting periods. The previous plan s termination date must be within 63 days of the start date of this Cigna plan . The prior plan must have been effective 12 or more consecutive months prior to your new plan start date. Waiting periods are waived for Class II and Class III in Maine if under the age of Estimate based on the national average of a standard Cigna dental 1000 plan ; subject to deductible and coinsurance (as applicable), results in specific states may vary.

Cigna Dental 1000 Plan 1. Cigna internal data as of July 2021. Subject to change. 2. For each additional eligible dependent, as defined by the policy, added to a primary policy, a 15% discount is applied to the standard rate. Discount is applied in the quote tool. 3. View Dental Benefit details on page 3 for applicable waiting periods.

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