Boilermakers Local 169


Serving Michigan With Pride Since 1895

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Boilermakers Local 169

Retiree Health Care Rates

For the Calendar Year of 2009

 

X-Plan Coverage

Single Coverage

Monthly Rate

Six Month Total

 

If you are eligible for Medicare

$140.00

$840.00

 

If you are not eligible for Medicare

$386.00

$2,316.00

Retiree Plus One Dependent

 

 

 

If two family members are eligible for Medicare

$279.00

$1,674.00

 

If one family member is eligible for Medicare

$526.00

$3,156.00

 

If no one is eligible for Medicare

$774.00

$4,644.00

Family Coverage (3 or more family members)

 

 

 

If two or more family members are eligible for Medicare

$428.00

$2,568.00

 

If one family member is eligible for Medicare

$675.00

$4,050.00

 

If no one is eligible for Medicare

$922.00

$5,532.00

 

 

 

COBRA Coverage

All benefits (includes medical, dental and vision coverage). 

 

Single

$353.44

$2,120.64

 

Two People

$706.88

$4,241.28

 

Family (three or more people)

$1,307.73

$$7,846.38

Core benefits (Includes medical coverage only)

 

Single

$340.99

$2,045.94

 

Two People

$681.98

$4,091.88

 

Family (three or more people)

$1,261.66

$7,569.96

Single Coverage

Monthly Rate

Six Month Total

 

If you are eligible for Medicare

$140.00

$840.00

 

If you are not eligible for Medicare

$386.00

$2,316.00

Retiree Plus One Dependent

 

 

 

If two family members are eligible for Medicare

$279.00

$1,674.00

 

If one family member is eligible for Medicare

$526.00

$3,156.00

 

If no one is eligible for Medicare

$774.00

$4,644.00

Family Coverage (3 or more family members)

 

 

 

If two or more family members are eligible for Medicare

$428.00

$2,568.00

 

If one family member is eligible for Medicare

$675.00

$4,050.00

 

If no one is eligible for Medicare

$922.00

$5,532.00

 

 

 

COBRA Coverage

All benefits (includes medical, dental and vision coverage). 

 

Single

$359.32

$2,155.92

 

Two People

$718.63

$4,311.78

 

Family (three or more people)

$1,329.47

$7,976.82

Core benefits (Includes medical coverage only)

 

Single

$345.15

$2,070.90

 

Two People

$690.31

$4,141.86

 

Family (three or more people)

$1,277.06

$7,662.36

1755 Fairlane Drive

Allen Park, MI 48101

(313) 584-8520 * fax (313) 584-8777    

 

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