Retiree Medical—Vision - Dental Rates

 

 

Previous
Rates

Rates Effective
May 1, 2010
With Surcharge

Rates Effective
July 1, 2010
With Increases

Rates Effective
Jan 1, 2011
No Surcharge

 MEDICAL Retirees <65

 

 

 

  EPO Plan

 

 

NO INCREASE

 

 

Single

$606.97

$656.97

$656.97

$606.97

 

Two-Party

$919.27

$969.27

$969.27

$919.27

 

Family

$1,343.57

$1,393.57

$1,393.57

$1,343.57

  Managed Care Plan

 

 

20% INCREASE

 

 

Single

$773.39

$823.39

$978.07

$928.07

 

Two-Party

$1,127.86

$1,177.86

$1,403.43

$1,353.43

 

Family

$1,610.73

$1,660.73

$1,982.88

$1,932.88

  Medical Choice Plan

 

 

5% INCREASE

 

 

Single

$627.67

$677.67

$709.05

$659.05

 

Two-Party

$937.12

$987.12

$1,033.98

$983.98

 

Family

$1,358.70

$1,408.70

$1,476.64

$1,426.64

 MEDICAL Retirees >65

 

 

 

 EPO Plan

 

 

NO INCREASE

 

 

Single

$434.86

$484.86

$484.86

$434.86

 

Two-Party

$624.29

$674.29

$674.29

$624.29

 

Family

N/A

N/A

N/A

N/A

 Managed Care Plan

 

 

20% INCREASE

 

 

Single

$457.95

$507.95

$599.54

$549.54

 

Two-Party

$692.44

$742.44

$880.93

$830.93

 

Family

$850.36

$900.36

$1,070.43

$1,020.43

 Medical Choice Plan

 

 

5% INCREASE

 

 

Single

$352.26

$402.26

$419.87

$369.87

 

Two-Party

$556.98

$606.98

$634.83

$584.83

 

Family

$695.89

$745.89

$780.68

$730.68

 DENTAL

Previous
Rates

Rates Effective
January 1, 2010
  No Increase

Rates Effective
July 1, 2010
  No Increase

Rates Effective
Jan 1, 2011
  No Increase

    Retirees

 

 

 

 

 

Single

$42.83

$42.83

$42.83

$42.83

 

Two-Party

$89.69

$89.69

$89.69

$89.69

 

Family

$136.53

$136.53

$136.53

$136.53

 VISION

Previous
Rates

Rates Effective
January 1, 2010
   No Increase

Rates Effective
July 1, 2010
   No Increase

Rates Effective
Jan 1, 2011
   No Increase

    Retirees

 

 

 

 

 

All Composite

$22.56

$22.56

$22.56

$22.56

                         EFFECTIVE MAY 1, 2010 ALL 3 PLANS

                              INCLUDE A $50.00 SURCHARGE

 

 

 

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