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VSTRS Group Health Insurance Rates - All Rates are Monthly

BC/BS Insurance Rates Effective July 1, 2006

      Withholding starts with the June 30 pension payment

   JY Plan
  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-000
Retiree Only $525.96 $374.88 $151.08 1L
Retiree and 1 Dependent $1,037.00 $374.88 $662.12 2L
Retiree and Family $1,394.55 $374.88 $1,019.67 FL
Retiree and 1 Dependent Medicare Eligible $987.71 $374.88 $612.83 TL
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $1,498.75 $374.88 $1,123.87 3L
Retiree Over 65 Medicare Eligible, Group Number: 80724-007
Retiree Only $461.75 $301.83 $159.92 1M
Retiree and 1 Dependent Medicare Eligible $923.50 $301.83 $621.67 2M
Retiree and 2 Dependents Medicare Eligible $1.385.25 $279.47 $1,083.42 FM
Retiree and 1 Dependent Under 65 $987.71 $301.83 $685.88 TM
Retiree and 2 Dependents Under 65 $1,498.75 $301.83 $1,196.92 3M
Retiree WITHOUT MEDICARE, Group Number: 80724-001
  $518.81 $374.88 $143.93 XM
 
   $250 Comprehensive Plan
  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-200
Retiree Only $468.60 $374.88 $93.72 1L-C
Retiree and 1 Dependent $920.89 $374.88 $546.01 2L-C
Retiree and Family $1,234.63 $374.88 $859.75 FL-C
Retiree and 1 Medicare Eligible Dependent $845.89 $374.88 $471.01 TL-C
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $1,298.18 $374.88 $923.30 3L-C
Retiree Over 65 Medicare Eligible, Group Number: 80724-207
Retiree Only $377.29 $301.83 $75.46 1M-C
Retiree and 1 Dependent Medicare Eligible $754.58 $301.83 $452.75 2M-C
Retiree and 2 Dependents Medicare Eligible $1,131.87 $301.83 $830.04 FM-C
Retiree and 1 Dependent Under 65 $845.89 $301.83 $544.06 TM-C
Retiree and 2 Dependents Under 65 $1,298.18 $301.83 $996.35 3M-C
 
   Vermont Health Partnership
  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-100
Retiree Only $468.60 $374.88 $93.72 1L-V
Retiree and 1 Dependent $920.89 $374.88 $546.01 2L-V
Retiree and Family $1,234.63 $374.88 $859.75 FL-V
Retiree-VT Health Partnership Dependent(s) - JY Carveout
Retiree and 1 Dependent Medicare Eligible $930.35 $374.88 $555.47 TL-V or T
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $1,382.64 $374.88 $1,007.76 3L-V or T
Retiree-VT Health Partnership Dependent(s) - Comp Carveout
Retiree and 1 Dependent Medicare Eligible $845.89 $374.88 $471.01 TL-U
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $1,298.18 $374.88 $923.30 3L-U
Retiree-VT Health Partnership Dependent(s) - Medicomp C
Retiree and 1 Dependent Medicare Eligible $612.99 $374.88 $238.11 TL-W
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible $1,065.28 $374.88 $690.40 3L-W
 
   Medicomp C Plan
  Total Premium State Share Retiree Share Class Code
Retiree Over 65 Medicare Eligible, Group Number: 80724-300
Retiree Only $144.39 $144.39 $0.0 1M-X
Retiree and 1 Dependent Medicare Eligible $288.78 $144.39 $144.39 2M-X
Retiree and 2 Dependents Medicare Eligible $433.17 $144.39 $288.78 FM-X
Retiree - Medicomp C Dependent(s) - JY
Retiree and 1 Dependent Under 65 $670.35 $144.39 $525.96 TM-Y
Retiree and 2 Dependents Under 65 $1,181.39 $144.39 $1,037.00 3M-Y
Retiree - Medicomp C Dependent(s) - Comp
Retiree and 1 Dependent Under 65 $612.99 $144.39 $468.60 TM-#
Retiree and 2 Dependents Under 65 $1,065.28 $144.39 $920.89 3M-#
Retiree - Medicomp C Dependent(s) - VT Health Partnership
Retiree and 1 Dependent Under 65 $612.99 $144.39 $468.60 TM-P
Retiree and 2 Dependents Under 65 $1,065.28 $144.39 $920.89 3M-P
 

 

2008 VSTRS Group Health Insurance Rates

2007 VSTRS Group Health Insurance Rates

2005 VSTRS Group Health Insurance Rates