|
| |
|
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 |
|
