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10
2017 Stantec
Benefits Guide
Deductibles and Out-of-Pocket Maximums (continued)
Plan Year
Deductible
Plan Year
Out-of-Pocket
Maximum
(Includes Deductible)
Plan Year
Out-of-Network
Deductible
Plan Year
Out-of-Network,
Out-of-Pocket
Maximum
(Includes Deductible)
Cigna HSA Buy-up Plan
Employee only
$1,500
($600 HSA)
$3,500
$3,000
($600 HSA)
$7,000
Employee
and spouse or
domestic partner
$3,000
($1,000 HSA)
$7,000
$6,000
($1,000 HSA)
$14,000
Employee and
child(ren)
Family
Cigna HRA Plan
Employee only
$1,400
($600 HRA)
$3,000
$2,800
($600 HRA)
$6,000
Employee
and spouse or
domestic partner
$2,800
($1,000 HRA)
$6,000
$5,600
($1,000 HRA)
$12,000
Employee and
child(ren)
Family
Lifetime Maximum
– Unlimited