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VSTRS Group Health Insurance Rates(2007) - All Rates are Monthly

BC/BS Insurance Rates Effective July 1, 2007

      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
$565.41
$403.00
$162.41
1L
Retiree and 1 Dependent
$1,114.78
$403.00
$711.78
2L
Retiree and Family
$1,499.14
$403.00
$1,096.14
FL
Retiree and 1 Dependent Medicare Eligible
$1,061.79
$403.00
$658.79
TL
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,611.16
$403.00
$1,208.16
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
$1,061.79
$324.47
$737.32
TM
Retiree and 2 Dependents Under 65
$1,611.16
$324.47
$1,286.69
3M
Retiree WITHOUT MEDICARE, Group Number: 80724-001
 
$557.72
$403.00
$154.72
XM
 

   $250 Comprehensive Plan

  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-200
Retiree Only
$503.75
$403.00
$100.75
1L-C
Retiree and 1 Dependent
$989.96
$403.00
$586.96
2L-C
Retiree and Family
$1,327.23
$403.00
$924.23
FL-C
Retiree and 1 Medicare Eligible Dependent
$909.34
$403.00
$506.34
TL-C
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,395.55
$403.00
$992.55
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
$909.34
$324.47
$584.87
TM-C
Retiree and 2 Dependents Under 65
$1,395.55
$324.47
$1,071.08
3M-C
 

   Vermont Health Partnership

  Total Premium State Share Retiree Share Class Code
Retiree Under 65, Group Number: 80724-100
Retiree Only
$503.75
$403.00
$100.75
1L-V
Retiree and 1 Dependent
$989.96
$403.00
$586.96
2L-V
Retiree and Family
$1,327.23
$403.00
$924.23
FL-V
Retiree-VT Health Partnership Dependent(s) - JY Carveout
Retiree and 1 Dependent Medicare Eligible
$1,000.13
$403.00
$597.13
TL-V or T
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,486.34
$403.00
$1,083.34
3L-V or T
Retiree-VT Health Partnership Dependent(s) - Comp Carveout
Retiree and 1 Dependent Medicare Eligible
$909.34
$403.00
$506.34
TL-U
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,395.55
$403.00
$992.55
3L-U
Retiree-VT Health Partnership Dependent(s) - Medicomp C
Retiree and 1 Dependent Medicare Eligible
$664.44
$403.00
$261.44
TL-W
Retiree and 2 Dependents, 1 of Whom is Medicare Eligible
$1,150.65
$403.00
$747.65
3L-W
 

   Medicomp C Plan

  Total Premium State Share Retiree Share Class Code
Retiree Over 65 Medicare Eligible, Group Number: 80724-300
Retiree Only
$160.69
$160.69
$0.0
1M-X
Retiree and 1 Dependent Medicare Eligible
$321.38
$160.69
$160.69
2M-X
Retiree and 2 Dependents Medicare Eligible
$482.07
$160.69
$321.38
FM-X
Retiree - Medicomp C Dependent(s) - JY
Retiree and 1 Dependent Under 65
$726.10
$160.69
$565.41
TM-Y
Retiree and 2 Dependents Under 65
$1,275.47
$160.69
$1,114.78
3M-Y
Retiree - Medicomp C Dependent(s) - Comp
Retiree and 1 Dependent Under 65
$664.44
$160.69
$503.75
TM-#
Retiree and 2 Dependents Under 65
$1,150.65
$160.69
$989.96
3M-#
Retiree - Medicomp C Dependent(s) - VT Health Partnership
Retiree and 1 Dependent Under 65
$664.44
$160.69
$989.96
TM-P
Retiree and 2 Dependents Under 65
$1,150.65
$160.69
$989.96
3M-P
 

 

2009 VSTRS Group Health Insurance Rates

2008 VSTRS Group Health Insurance Rates

2007 VSTRS Group Health Insurance Rates

2006 VSTRS Group Health Insurance Rates