Premium Rates - OFFICE OF GROUP INSURANCE

Eligible retirees and the State share in the cost of Retiree medical premiums. How much you pay depends on which plan you choose, how many dependents you have enrolled and your Medicare status.

Rates posted below for each Retiree medical plan option are for the plan year, July 1, 2024 – June 30, 2025 (FY2025). All Retiree member premiums are paid post-tax.

Monthly Rates

FY25 Retiree Monthly Premium Rates

FY24 Retiree Monthly Premium Rates

PPO Plan – FY2025 Monthly Premiums

Medicare Status	Retiree Only	Retiree & Spouse	Retiree & Child(ren)	Retiree, Spouse & Child(ren)
No Medicare	$1227.70	$2,455.40	$1,841.56	$3,069.26
One on Medicare	$454.24	$1,681.94	$1,068.10	$2,295.80
Two or more on Medicare	N/A	$908.50	N/A	$1,522.34

Traditional Plan – FY2025 Monthly Premiums

Medicare Status	Retiree Only	Retiree & Spouse	Retiree & Child(ren)	Retiree, Spouse & Child(ren)
No Medicare	$1,269.40	$2,538.78	1904.08	$3,173.48
One on Medicare	$469.68	1739.06	$1,104.36	$2,373.76
Two or more on Medicare	N/A	$939.34	N/A	$1,574.04

High Deductible Plan – FY2025 Monthly Premiums

Medicare Status	Retiree Only	Retiree & Spouse	Retiree & Child(ren)	Retiree, Spouse & Child(ren)
No Medicare	$761.92	$1,523.84	1142.88	$1,904.80
One on Medicare	$281.92	1043.84	$662.88	$1,424.80
Two or more on Medicare	N/A	$563.82	N/A	$944.78