University Human Resource Services
Retirees 2009 Medical Care Plan Rates
Retirees Under Age 65
| IU PPO-$900 Deductible | |
| Monthly Retiree Premiums | |
| One participant | $ 388.69 |
| One participant and child(ren) | $ 775.32 |
| Participant and spouse | $ 947.81 |
| Family | $1,076.39 |
| IU PPO $900 Deductible | ||
| Monthly Premiums | ||
| One participant | $ 388.69 |
$24.38 |
| One participant and child(ren) | $ 775.32 |
$43.90 |
| Participant and spouse | $ 947.81 |
$57.26 |
| Participant and family | $1076.39 |
$83.52 |
| IU HDHP PPO | ||
| Monthly Premiums | ||
| One participant | $349.82 |
$24.38 |
| One participant and child(ren) | $697.78 |
$43.90 |
| Participant and spouse | $853.03 |
$57.26 |
| Participant and family | $968.75 |
$83.52 |
| Blue Preferred Primary POS | ||
| Monthly Premiums | ||
| One participant | $ 404.32 |
$24.38 |
| One participant and child(ren) | $ 800.90 |
$43.90 |
| Participant and spouse | $ 980.94 |
$57.26 |
| Participant and family | $1113.80 |
$83.52 |
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 |
