Retiree Premiums Chart

Monthly premiums effective January 1, 2017 thru December 31, 2017

MEDICAL - $650 Deductible  
Single $432.21
Plan member + spouse $748.00
Plan member + child $598.00
Plan member + children $717.46
Family $903.31
   
DENTAL  
Single $28.00
Plan member + one dependent $50.00
Family $76.00
   
VISION  
Single $4.08
Plan member + one dependent $8.16
Family $12.24

 

Monthly premiums effective January 1, 2018 thru December 31, 2018

MEDICAL - $750 Deductible  
Single $475.44
Plan member + spouse $822.80
Plan member + child $657.80
Plan member + children $789.21
Family $993.65
   
DENTAL  
Single $28.00
Plan member + one dependent $50.00
Family $76.00
   
VISION  
Single $4.08
Plan member + one dependent $8.16
Family $12.24