The information on this website provides highlights of plan coverage only.
It is not a contract. If there are any differences between the information on this
site and the official plan documents, the terms of the plan documents will control.
Product availability may vary by location and plan type and is subject to change.
Plan details may vary so always refer to your plan documents for details related to
your specific plan. Group medical plans insured and/or administered by Cigna Health
and Life Insurance Company (CHLIC) or HMO or service company subsidiaries of Cigna
Health Corporation, including Cigna HealthCare of Arizona, Inc., Cigna HealthCare of
California, Inc., Cigna HealthCare of Colorado, Inc., Cigna HealthCare of Connecticut, Inc.,
Cigna HealthCare of Florida, Inc., Cigna HealthCare of Georgia, Inc.,
Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Indiana, Inc.,
Cigna HealthCare of St. Louis, Inc., Cigna HealthCare of North Carolina, Inc.,
Cigna HealthCare of New Jersey, Inc., Cigna HealthCare of South Carolina, Inc.,
Cigna HealthCare of Tennessee, Inc. (CHC-TN), and Cigna HealthCare of Texas, Inc.
Dental indemnity/PPO/EPO plans are insured and/or administered by CHLIC with network
management services provided by Cigna Dental Health, Inc. (CDHI) and certain of its
subsidiaries. Cigna Dental Care (DHMO) plans are insured by Cigna Dental Health Plan of
Arizona, Inc., Cigna Dental Health of California, Inc., Cigna Dental Health of Colorado,
Inc., Cigna Dental Health of Delaware, Inc., Cigna Dental Health of Florida, Inc., a
Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes,
Cigna Dental Health of Kansas, Inc. (KS & NE), Cigna Dental Health of Kentucky, Inc.
(KY & IL), Cigna Dental Health of Maryland, Inc., Cigna Dental Health of Missouri, Inc.,
Cigna Dental Health of New Jersey, Inc., Cigna Dental Health of North Carolina, Inc.,
Cigna Dental Health of Ohio, Inc., Cigna Dental Health of Pennsylvania, Inc.,
Cigna Dental Health of Texas, Inc., and Cigna Dental Health of Virginia, Inc.
In other states, Cigna Dental Care plans are insured by CHLIC or
Cigna HealthCare of Connecticut, Inc., and administered by CDHI.
Policy forms: OK – Medical: HP-APP-1 et al., DPPO: HP-POL99/HP-POL388, DHMO: POL115 (CHLIC);
OR – Medical: HP-POL38 02-13, DPPO: HP-POL68/HP-POL352, DHMO: HP-POL121 04-10 (CHLIC); TN –
Medical: HP-POL43/HC-CER1V1 et al. (CHLIC) & GSA-COVER, et al. (CHC-TN);
DPPO: HP-POL69/HC-CER2V1/HP-POL389 et al., DHMO: HP-POL134/HC-CER17V1 et al. (CHLIC).
All plans and insurance policies have exclusions and limitations. For costs and details
of coverage, see your plan documents.