University Human Resource Services
Retirees 2008 Medical Care Plan Rates
Retirees Under Age 65
COBRA
| IU PPO-Plus | ||
| Monthly Premiums | ||
| One participant | $ 583.84 |
$23.52 |
| One participant and child(ren) | $1156.47 |
$42.36 |
| Participant and spouse | $1416.44 |
$55.26 |
| Participant and family | $1608.29 |
$80.59 |
| IU PPO $900 Deductible | ||
| Monthly Premiums | ||
| One participant | $356.83 |
$23.52 |
| One participant and child(ren) | $711.75 |
$42.36 |
| Participant and spouse | $870.11 |
$55.26 |
| Participant and family | $988.15 |
$80.59 |
| Blue Preferred Primary POS | ||
| Monthly Premiums | ||
| One participant | $ 380.86 |
$23.52 |
| One participant and child(ren) | $ 754.42 |
$42.36 |
| Participant and spouse | $ 924.02 |
$55.26 |
| Participant and family | $1049.17 |
$80.59 |
Retirees age 65 and over
| Anthem Blue Retiree Plan | |
| Monthly Retiree Premiums | |
| One participant (Retiree or surviving spouse) |
$157.30 |
| Retiree and spouse | $314.58 |

