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Retiree Medical—Vision - Dental Rates |
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Previous |
Rates Effective |
Rates Effective |
Rates Effective |
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MEDICAL Retirees <65 |
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EPO Plan |
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NO INCREASE |
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Single |
$606.97 |
$656.97 |
$656.97 |
$606.97 |
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Two-Party |
$919.27 |
$969.27 |
$969.27 |
$919.27 |
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Family |
$1,343.57 |
$1,393.57 |
$1,393.57 |
$1,343.57 |
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Managed Care Plan |
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20% INCREASE |
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Single |
$773.39 |
$823.39 |
$978.07 |
$928.07 |
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Two-Party |
$1,127.86 |
$1,177.86 |
$1,403.43 |
$1,353.43 |
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Family |
$1,610.73 |
$1,660.73 |
$1,982.88 |
$1,932.88 |
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Medical Choice Plan |
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5% INCREASE |
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Single |
$627.67 |
$677.67 |
$709.05 |
$659.05 |
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Two-Party |
$937.12 |
$987.12 |
$1,033.98 |
$983.98 |
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Family |
$1,358.70 |
$1,408.70 |
$1,476.64 |
$1,426.64 |
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MEDICAL Retirees >65 |
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EPO Plan |
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NO INCREASE |
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Single |
$434.86 |
$484.86 |
$484.86 |
$434.86 |
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Two-Party |
$624.29 |
$674.29 |
$674.29 |
$624.29 |
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Family |
N/A |
N/A |
N/A |
N/A |
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Managed Care Plan |
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20% INCREASE |
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Single |
$457.95 |
$507.95 |
$599.54 |
$549.54 |
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Two-Party |
$692.44 |
$742.44 |
$880.93 |
$830.93 |
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Family |
$850.36 |
$900.36 |
$1,070.43 |
$1,020.43 |
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Medical Choice Plan |
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5% INCREASE |
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Single |
$352.26 |
$402.26 |
$419.87 |
$369.87 |
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Two-Party |
$556.98 |
$606.98 |
$634.83 |
$584.83 |
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Family |
$695.89 |
$745.89 |
$780.68 |
$730.68 |
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DENTAL |
Previous |
Rates Effective |
Rates Effective |
Rates Effective |
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Retirees |
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Single |
$42.83 |
$42.83 |
$42.83 |
$42.83 |
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Two-Party |
$89.69 |
$89.69 |
$89.69 |
$89.69 |
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Family |
$136.53 |
$136.53 |
$136.53 |
$136.53 |
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VISION |
Previous |
Rates Effective |
Rates Effective |
Rates Effective |
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Retirees |
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All Composite |
$22.56 |
$22.56 |
$22.56 |
$22.56 |
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EFFECTIVE MAY 1, 2010 ALL 3 PLANS |
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INCLUDE A $50.00 SURCHARGE |
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