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Retiree Health Care Plan Rate Chart
For Retirees Under Age 65
Monthly Rates for 2009
The rates on the following chart are based on your age and the age of your spouse,
if applicable.
Health Care Plan |
Retiree Only |
Retiree and Child(ren) |
Retiree and Spouse |
Retiree and Family |
UnitedHealthcare (PPO)
Retiree under 65 and Spouse (if applicable) under 65 |
95.00 |
266.00 |
348.00 |
533.00 |
UnitedHealthcare (PPO)
Retiree under 65 and Spouse (if applicable) over 65 |
95.00 |
266.00 |
261.00 |
451.00 |
Aetna (PPO)
Retiree under 65 and Spouse (if applicable) under 65 |
95.00 |
266.00 |
348.00 |
533.00 |
Aetna (PPO)
Retiree under 65 and Spouse (if applicable) over 65 |
95.00 |
266.00 |
261.00 |
451.00 |
Aetna POS
Retiree under 65 and Spouse (if applicable) under 65 |
87.00 |
248.00 |
324.00 |
$479.00 |
Aetna POS
Retiree under 65 and Spouse (if applicable) over 65 |
87.00 |
248.00 |
239.00 |
413.00 |
UnitedHealthcare
Plan (POS)
Retiree under 65 and Spouse (if applicable) under 65 |
87.00 |
248.00 |
324.00 |
497.00 |
UnitedHealthcare
Plan (POS)
Retiree under 65 and Spouse (if applicable) over 65 |
87.00 |
248.00 |
239.00 |
413.00 |
Aetna HMO
Retiree under 65 and Spouse (if applicable) under 65 |
$77.00 |
$228.00 |
$300.00 |
$462.00 |
Aetna HMO
Retiree under 65 and Spouse (if applicable) over 65 |
$77.00 |
$228.00 |
$212.00 |
$366.00 |
MetLife PPO Dental
Both over or under 65 |
# |
# |
# |
# |
Vision Services Plan (VSP)
Both over or under 65 |
$12.25 |
$22.46* |
$22.46 |
$28.79 |
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*If you need to enroll more than one child, you must elect Retiree and Family.
# Plan will be administered by MetLife. Enrollment is processed
directly through MetLife. Please contact MetLife at 800-438-6388 for
more information.
Last Updated:
06/19/09
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