Retiree Medical—Vision - Dental Rates

 

 Medical Plans

Previous Rates
01/01/11

Rates Increase
04/01/11
10% Increase

New Rates  Effective
04/01/11
w/ $50 surcharge

 

 MEDICAL Retirees <65

 

 

 

  EPO Plan

 

 

 

 

 

Single

$656.97

$667.67

$717.67

 

 

Two-Party

$969.27

$1,011.20

$1,061.20

 

 

Family

$1,393.57

$1,477.93

$1,527.93

 

  Managed Care Plan

 

 

 

 

 

Single

$978.07

$1,020.88

$1,070.88

 

 

Two-Party

$1,403.43

$1,488.77

$1,538.77

 

 

Family

$1,982.88

$2,126.17

$2,176.17

 

  Medical Choice Plan

 

 

 

 

 

Single

$709.05

$724.96

$774.96

 

 

Two-Party

$1,033.98

$1,082.38

$1,132.38

 

 

Family

$1,476.64

$1,569.30

$1,619.30

 

 MEDICAL Retirees >65

 

 

 

 EPO Plan

 

 

 

 

 

Single

$484.86

$478.35

$528.35

 

 

Two-Party

$674.29

$686.72

$736.72

 

 

Family

N/A

N/A

N/A

 

 Managed Care Plan

 

 

 

 

 

Single

$599.54

$604.49

$654.49

 

 

Two-Party

$880.93

$914.02

$964.05

 

 

Family

$1,070.43

$1,122.47

$1,172.47

 

 Medical Choice Plan

 

 

 

 

 

Single

$419.87

$406.86

$456.86

 

 

Two-Party

$634.83

$643.31

$693.31

 

 

Family

$780.68

$803.75

$853.75

 

 DENTAL

Previous Rates
Rates

Rates Effective
04/01/11
  No Increase

No Changes
04/01/11

 

    Retirees

 

 

 

 

 

Single

$42.83

$42.83

$42.83

 

 

Two-Party

$89.69

$89.69

$89.69

 

 

Family

$136.53

$136.53

$136.53

 

 VISION

Previous
Rates

Rates Effective
04/01/11
   No Increase

No Changes
04/01/11

 

    Retirees

 

 

 

 

 

All Composite

$22.56

$22.56

$22.56

 

                         EFFECTIVE April 01, 2011 for ALL 3 PLANS

                              INCLUDE A $50.00 SURCHARGE

 

 

 

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