|
Retirees 2007 Medical Care Plan Rates
Under age 65 | Age 65 or over
Retirees Under Age 65
| IU PPO-$900 Deductible |
| Monthly Retiree Premiums |
| One participant |
$311.56 |
| One participant and child(ren) |
$621.46 |
| Participant and spouse |
$759.72 |
| Family |
$862.78 |
| |
| IU PPO-Plus |
| Monthly Retiree Premiums |
| One participant |
$496.25 |
| One participant and child(ren) |
$982.97 |
| Participant and spouse |
$1203.94 |
| Family |
$1367.02 |
COBRA
| IU PPO-Plus |
| Monthly Retiree Premiums |
Medical |
Dental |
| One participant |
$496.25 |
$22.55 |
| One participant and child(ren) |
$982.97 |
$40.61 |
| Retiree and spouse |
$1203.94 |
$52.98 |
| Retiree and family |
$1367.02 |
$77.27 |
| |
| IU PPO $900 Deductible |
| Monthly Retiree Premiums |
Medical |
Dental |
| One participant |
$311.56 |
$22.55 |
| One participant and child(ren) |
$621.46 |
$40.61 |
| Retiree and spouse |
$759.72 |
$52.98 |
| Retiree and family |
$862.78 |
$77.27 |
| |
| Blue Preferred Primary POS |
| Monthly Retiree Premiums |
Medical |
Dental |
| One participant |
$342.03 |
$22.55 |
| One participant and child(ren) |
$677.53 |
$40.61 |
| Retiree and spouse |
$829.84 |
$52.98 |
| Retiree and family |
$942.23 |
$77.27 |
| |
| M-Plan HMO |
| Monthly Retiree Premiums |
Medical |
Dental |
| One participant |
$386.86 |
$22.55 |
| One participant and child(ren) |
$728.30 |
$40.61 |
| Retiree and spouse |
$891.43 |
$52.98 |
| Retiree and family |
$1011.83 |
$77.27 |
Retirees age 65 and over
| Anthem Blue Retiree Plan |
| Monthly Retiree Premiums |
One participant
(Retiree or surviving spouse) |
$138.85 |
| Retiree and spouse |
$277.70 |
|
