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VSTRS Group Health Insurance Rates

BC/BS Insurance Rates Effective July 1, 2005

JY Plan
  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-000
Retiree Only $487.00 $347.11 $139.89 1L
Retiree and 1 Dependent $960.19 $347.11 $613.08 2L
Retiree and Family $1,291.25 $347.11 $944.14 FL
Retiree and 1 Dependent Medicare Eligible $914.55 $347.11 $567.44 TL
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $1,387.74 $347.11 $1,040.63 3L
Retiree Over 65 Medicare Eligible, Group Number: 80724-007
Retiree Only $427.55 $279.47 $148.08 1M
Retiree and 1 Dependent Medicare Eligible $855.10 $279.47 $575.63 2M
Retiree and 2 Dependents Medicare Eligible $1.282.65 $279.47 $1,003.18 FM
Retiree and 1 Dependent Under 65 $914.55 $279.47 $635.08 TM
Retiree and 2 Dependents Under 65 $1,387.74 $279.47 $1,108.27 3M
Retiree WITHOUT MEDICARE, Group Number: 80724-001
  $480.38 $347.11 $133.27 XM
$250 Comprehensive Plan
  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-200
Retiree Only $433.89 $347.11 $86.78 1L-C
Retiree and 1 Dependent $852.68 $347.11 $505.57 2L-C
Retiree and Family $1,143.18 $347.11 $796.07 FL-C
Retiree and 1 Medicare Eligible Dependent $783.23 $347.11 $436.12 TL-C
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $1,202.02 $347.11 $854.91 3L-C
Retiree Over 65 Medicare Eligible, Group Number: 80724-207
Retiree Only $349.34 $279.47 $69.87 1M-C
Retiree and 1 Dependent Medicare Eligible $698.68 $279.47 $419.21 2M-C
Retiree and 2 Dependents Medicare Eligible $1,048.02 $279.47 $768.55 FM-C
Retiree and 1 Dependent Under 65 $783.23 $279.47 $503.76 TM-C
Retiree and 2 Dependents Under 65 $1,202.02 $279.47 $922.55 3M-C
Vermont Health Partnership
  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-100
Retiree Only $433.89 $347.11 $86.78 1L-V
Retiree and 1 Dependent $852.68 $347.11 $505.57 2L-V
Retiree and Family $1,143.18 $347.11 $796.07 FL-V
Retiree-VT Health Partnership Dependent(s) - JY Carveout
Retiree and 1 Dependent Medicare Eligible $861.44 $347.11 $514.33 TL-V or T
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $1,280.23 $347.11 $933.12 3L-V or T
Retiree-VT Health Partnership Dependent(s) - Comp Carveout
Retiree and 1 Dependent Medicare Eligible $783.23 $347.11 $436.12 TL-U
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $1,202.02 $347.11 $854.91 3L-U
Retiree-VT Health Partnership Dependent(s) - Medicomp C
Retiree and 1 Dependent Medicare Eligible $572.78 $347.11 $225.67 TL-W
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $991.57 $347.11 $644.46 3L-W
Medicomp C Plan
Retiree and 2 Dependents Under 65
  Total Premium State Share Retiree Share Class Code
Retiree Over 65 Medicare Eligible, Group Number: 80724-300
Retiree Only $138.89 $138.89 $0.0 1M-X
Retiree and 1 Dependent Medicare Eligible $277.78 $138.89 $138.89 2M-X
Retiree and 2 Dependents Medicare Eligible $416.67 $138.89 $277.78 FM-X
Retiree - Medicomp C Dependent(s) - JY
Retiree and 1 Dependent Under 65 $625.89 $138.89 $487.00 TM-Y
$1,099.08 $138.89 $960.19 3M-Y
Retiree - Medicomp C Dependent(s) - Comp
Retiree and 1 Dependent Under 65 $572.78 $138.89 $433.89 TM-#
Retiree and 2 Dependents Under 65 $991.57 $138.89 $852.68 3M-#
Retiree - Medicomp C Dependent(s) - VT Health Partnership
Retiree and 1 Dependent Under 65 $572.78 $138.89 $433.89 TM-P
Retiree and 2 Dependents Under 65 $991.57 $138.89 $852.68 3M-P

 

2008 VSTRS Group Health Insurance Rates

2007 VSTRS Group Health Insurance Rates

2006 VSTRS Group Health Insurance Rates