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Premium Rates

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, 2020 – June 30, 2021 (FY2021). All Retiree member premiums are paid post-tax.


Yellow Arrow PPO Plan – FY2021 Monthly Premiums

Medicare StatusRetiree OnlyRetiree & SpouseRetiree & Child(ren)Retire, Spouse & Child(ren)
No Medicare$735$1,470$1,100$1,768
One on Medicare$217$1,075$585$1,374
Two or more on MedicareN/A$544N/A$911

Traditional Plan – FY2021 Monthly Premiums

Medicare StatusRetiree OnlyRetiree & SpouseRetiree & Child(ren)Retire, Spouse & Child(ren)
No Medicare$760$1,519$1,139$1,815
One on Medicare$217$1,089$610$1,411
Two or more on MedicareN/A$544N/A$924


High Deductible Plan – FY2021 Monthly Premiums

Medicare StatusRetiree OnlyRetiree & SpouseRetiree & Child(ren)Retire, Spouse & Child(ren)
No Medicare$472$1,011$707$1,208
One on Medicare$117$793$434$980
Two or more on MedicareN/A$389N/A$633

 

 

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