Retiree Insurance Rate Sheet
Retiree Medical Insurance Premiums - Monthly
Cigna Health Insurance
Effective 1/1/2013
Age 65 and Over:
Medical Coverage - Employee Only
|
233.75 |
|
$4500 Life Insurance
|
1.25 |
|
$4500 Life Insurance and Medical on Self Only
|
235.00 |
|
$4500 Life Insurance on Self and $500 Life Insurance on Spouse - No Medical Coverage
|
2.23 |
|
| Medical Coverage on Self and Spouse |
467.49 |
|
Medical Coverage on Self and Spouse with $4500 Life Insurance on Self
|
468.74
|
|
| Medical Coverage on Self and Spouse with $4500 Life Insurance on Self and $500 Life Insurance on Spouse |
469.72 |
|
|
|
|
Under Age 65
|
CORE
|
BASIC |
| Medical Coverage - Employee Only |
584.38 |
271.63 |
| $4500 Life Insurance |
1.25 |
1.25 |
$4500 Life Insurance and Medical on Self Only
|
585.63 |
272.88 |
| $4500 Life Insurance on Self and $500 Life Insurance on Spouse - No Medical Coverage |
2.23 |
2.23 |
| Medical Coverage on Self and Spouse |
1168.72 |
543.26 |
| Medical Coverage on Self and Spouse with $4500 Life Insurance on Self |
1169.97 |
544.51 |
| Medical Coverage on Self and Spouse with $4500 Life Insurance on Self and $500 Life Insurance on Spouse |
1170.95 |
545.49 |
| Medical Coverage on Self, Spouse and Dependents |
1473.18 |
679.09 |
| Medical Coverage on Self, Spouse and Dependents; $4500 Life Insurance on Self |
1474.43 |
680.34 |
| Medical Coverage on Self, Spouse and Dependents; $4500 Life Insurance on Self; $500 on Spouse |
1475.41 |
681.32 |
| Medical Coverage on Self and Children
|
781.14
|
397.67
|