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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, 2022 – June 30, 2023 (FY2023). All Retiree member premiums are paid post-tax.

Yellow Arrow PPO Plan – FY2023 Monthly Premiums

Medicare StatusRetiree OnlyRetiree & SpouseRetiree & Child(ren)Retiree, Spouse & Child(ren)
No Medicare$854$1,708$1,281$2,135
One on Medicare$240$1,170$743$1,597
Two or more on MedicareN/A$632N/A$1,059

Traditional Plan – FY2023 Monthly Premiums

Medicare StatusRetiree OnlyRetiree & SpouseRetiree & Child(ren)Retiree, Spouse & Child(ren)
No Medicare$883$1,766$1,325$2,208
One on Medicare$240$1,199$758$1,641
Two or more on MedicareN/A$632N/A$1,073


High Deductible Plan – FY2023 Monthly Premiums

Medicare StatusRetiree OnlyRetiree & SpouseRetiree & Child(ren)Retiree, Spouse & Child(ren)
No Medicare$530$1,097$823$1,371
One on Medicare$122$779$476$1,053
Two or more on MedicareN/A$421N/A$735

 

 

 

 

 

 

 

 

 

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