Retiree Medical—Vision - Dental Rates

 

 Medical Plans

Previous Rates
01/01/17

Rates
04/01/17
 

 MEDICAL Retirees <65

 

  EPO Plan

 

 

 

Single

$880.95

$898.57

 

Two-Party

$1302.62

$1,328.67

 

Family

$1875.54

$1,913.05

 Medical Choice Plan

 

 

 

Single

$978.97

$1,008.34

 

Two-Party

$1,430.49

$1,473.40

 

Family

$2,045.59

$2,106.96

  Managed Care Plan

 

 

 

Single

$1391.08

$1,558.01

 

Two-Party

$1998.87

$2,238.73

 

Family

$2826.86

$3,166.08

 MEDICAL Retirees >65

 

 EPO Plan

 

 

 

Single

$554.77

$554.77

 

Two-Party

$773.56

$773.56

 

Family

N/A

N/A

Medical Choice Plan

 

 

 

Single

$479.70

$479.70

 

Two-Party

$727.98

$727.98

 

Family

$896.44

$896.44

 Managed Care Plan

 

 

 

Single

$687.21

$687.21

 

Two-Party

$1012.25

$1012.25

 

Family

$1231.09

$1231.09

 DENTAL

Rates Effective
01/01/17
 

Rates Effective
04/01/17
  No Increase

    Retirees

 

 

 

Single

$42.83

$42.83

 

Two-Party

$89.69

$89.69

 

Family

$136.53

$136.53

 VISION

Rates Effective
01/01/17  

Rates Effective
04/01/17
  No Increase

    Retirees

 

 

 

All Composite

$22.56

$22.56

          EFFECTIVE April 01, 2017 for ALL 3 PLANS

 

 

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