• Cigna PPO Benefits Summary
• Cigna Dental Claim Form

 

Full-time Employees - Per Pay Period Rates
Cigna PPO	12 Month Employees	10 Month Employees
Individual	$5.94	$7.72
Family	$16.29	$21.17



• Part-time Employees - 2010 Rates (for employees hired before 1/1/93)
• Part-time Employees - 2010 Rates (for employees hired after 1/1/93)
• Cigna Web site
• To enroll, you must submit the following:
• Montgomery College Group Insurance Enrollment Form
• Copies of Marriage and/or Birth Certificates if adding dependents new to MC benefits

Cigna DentalCare Plan
This plan provides dental coverage under an HMO-like structure. This plan provides coverage based on a predetermined fee schedule with many basic services being covered at NO CHARGE. There are no patient charges for most preventative procedures, no claim forms, no deductibles and no annual dollar maximums. Complex procedures are available at low, pre-set patient charges.

Patient Charge/Fee Schedule

Part-time Employees - 2010 Rates (for employees hired before 1/1/93)

Part-time Employees - 2010 Rates (for employees hired after 1/1/93)

Cigna Web site

• Cigna DentalCare Enrollment Form
• Montgomery College Group Insurance Enrollment Form
• Copies of Marriage and/or Birth Certificates if adding dependents new to MC benefits