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POS (CIGNA) Covered by Employment
Please select from one of the Tabs at top
Quarterly Contribution
$100.00
Please select the quarter for which you have qualified and wish to pay:
Coverage Period
April - June 2010
July - September 2010
October - December 2010
January - March 2011
Covered by Employment One Dependant
$1,975.44
Choose this coverage if you are covered by employment and need coverage for 1 dependant.
Please select the coverage period you are paying for:
Coverage Period
April - June 2010
July - September 2010
October - December 2010
January - March 2011
Covered by Employment 2 or more dependants
$3,198.36
Choose this if you want to cover 2 or more dependants and you are covered by employment.
Please select the coverage period you are paying for:
Coverage Period
April - June 2010
July - September 2010
October - December 2010
January - March 2011
2 Participants covered by employment - 1 dependant
$1,277.10
Covered by Employment Participants one dependant
Please select the coverage period you are paying for:
Coverage Period
April - June 2010
July - September 2010
October - December 2010
January - March 2011
2 Participants covered by employment - 2 or more dependants
$1,915.65
Please select the coverage period you are paying for:
Coverage Period
April - June 2010
July - September 2010
October - December 2010
January - March 2011
