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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, 2021 – June 30, 2022 (FY2022). All Retiree member premiums are paid post-tax.

Yellow Arrow PPO Plan – FY2022 Monthly Premiums

Medicare StatusRetiree OnlyRetiree & SpouseRetiree & Child(ren)Retire, Spouse & Child(ren)
No Medicare$771$1,542$1,157$1,848
One on Medicare$208$1,056$665$1,442
Two or more on MedicareN/A$571N/A$956

Traditional Plan – FY2022 Monthly Premiums

Medicare StatusRetiree OnlyRetiree & SpouseRetiree & Child(ren)Retire, Spouse & Child(ren)
No Medicare$797$1,594$1,196$1,895
One on Medicare$208$1,082$684$1,481
Two or more on MedicareN/A$571N/A$969


High Deductible Plan – FY2022 Monthly Premiums

Medicare StatusRetiree OnlyRetiree & SpouseRetiree & Child(ren)Retire, Spouse & Child(ren)
No Medicare$475$990$743$1,238
One on Medicare$110$713$425$951
Two or more on MedicareN/A$375N/A$664

 

 

 

 

 

 

 

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