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VSTRS Group Health Insurance Rates - All Rates are Monthly

BC/BS Insurance Rates Effective July 1, 2009

      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
$593.67
$423.06
$170.61
1L
Retiree and 1 Dependent
$1,170.58
$423.06
$747.52
2L
Retiree and Family
$1,574.17
$423.06
$1,151.11
FL
Retiree and 1 Dependent Medicare Eligible
$1,090.05
$423.06
$666.99
TL
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,666.96
$423.06
$1,243.90
3L
Retiree Over 65 Medicare Eligible, Group Number: 80724-007
Retiree Only
$496.38
$324.47
$171.91
1M
Retiree and 1 Dependent Medicare Eligible
$992.76
$324.47
$668.29
2M
Retiree and 2 Dependents Medicare Eligible
$1,489.14
$324.47
$1,164.67
FM
Retiree and 1 Dependent Under 65
$1,090.05
$324.47
$765.58
TM
Retiree and 2 Dependents Under 65
$1,666.96
$324.47
$1,342.49
3M
Retiree WITHOUT MEDICARE, Group Number: 80724-001
 
$557.72
$423.06
$134.66
XM
 

   $250 Comprehensive Plan

  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-200
Retiree Only
$528.83
$423.06
$105.77
1L-C
Retiree and 1 Dependent
$1,039.50
$423.06
$616.44
2L-C
Retiree and Family
$1,393.50
$423.06
$970.44
FL-C
Retiree and 1 Medicare Eligible Dependent
$934.42
$423.06
$511.36
TL-C
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,445.09
$423.06
$1,022.03
3L-C
Retiree Over 65 Medicare Eligible, Group Number: 80724-207
Retiree Only
$405.59
$324.47
$81.12
1M-C
Retiree and 1 Dependent Medicare Eligible
$811.18
$324.47
$486.71
2M-C
Retiree and 2 Dependents Medicare Eligible
$1,216.77
$324.47
$892.30
FM-C
Retiree and 1 Dependent Under 65
$934.42
$324.47
$609.95
TM-C
Retiree and 2 Dependents Under 65
$1,445.09
$324.47
$1,120.62
3M-C
 

   Vermont Health Partnership

  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-100
Retiree Only
$528.83
$423.06
$105.77
1L-V
Retiree and 1 Dependent
$1,039.50
$423.06
$616.44
2L-V
Retiree and Family
$1,393.50
$423.06
$970.44
FL-V
Retiree-VT Health Partnership Dependent(s) - JY Carveout
Retiree and 1 Dependent Medicare Eligible
$1,025.21
$423.06
$602.15
TL-T
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,535.88
$423.06
$1,112.82
3L-T
Retiree-VT Health Partnership Dependent(s) - Comp Carveout
Retiree and 1 Dependent Medicare Eligible
$934.42
$423.06
$511.36
TL-U
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,445.09
$423.06
$1,022.03
3L-U
Retiree-VT Health Partnership Dependent(s) - Medicomp C
Retiree and 1 Dependent Medicare Eligible
$718.28
$423.06
$295.22
TL-W
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,228.95
$423.08
$805.89
3L-W
 

   Medicomp C Plan

  Total Premium State Share Retiree Share Class Code
Retiree Over 65 Medicare Eligible, Group Number: 80724-300
Retiree Only
$189.45
$189.45
$0.0
1M-X
Retiree and 1 Dependent Medicare Eligible
$378.90
$189.45
$189.45
2M-X
Retiree and 2 Dependents Medicare Eligible
$568.35
$189.45
$378.90
FM-X
Retiree - Medicomp C Dependent(s) - JY
Retiree and 1 Dependent Under 65
$783.12
$189.45
$593.67
TM-Y
Retiree and 2 Dependents Under 65
$1360.03
$189.45
$1,170.58
3M-Y
Retiree - Medicomp C Dependent(s) - Comp
Retiree and 1 Dependent Under 65
$718.28
$189.45
$528.83
TM-#
Retiree and 2 Dependents Under 65
$1,228.95
$189.45
$1,039.50
3M-#
Retiree - Medicomp C Dependent(s) - VT Health Partnership
Retiree and 1 Dependent Under 65
$718.28
$189.45
$528.83
TM-P
Retiree and 2 Dependents Under 65
$1,228.95
$189.45
$1,039.50
3M-P
 

 

2008 VSTRS Group Health Insurance Rates

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2006 VSTRS Group Health Insurance Rates