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Benefits Information for Official Retirees and Former Employees

Once you are a retiree or a former employee, your benefits coverage - including premiums - changes in regard to your classification and age.

Pre-65 Retirees

2024 Medical Plan Premiums
(Rates below do not include tobacco-user additional premium, if applicable)

Monthly Premium
Premier CDHP
Retiree Only $743.90
Retiree & Children $1,339.00
Retiree & Spouse $1,636.57
Retiree & Family $2,231.69
Standard CDHP
Retiree Only $682.22
Retiree & Children $1,228.00
Retiree & Spouse $1,500.90
Retiree & Family $2,046.66
Limited CDHP
Retiree Only $651.20
Retiree & Children $1,171.97
Retiree & Spouse $1,432.65
Retiree & Family $1,953.62

Dental Plan
2024 Dental Plan Premiums
Monthly Premium
Preventive Only
Retiree Only $0
Retiree & Children $0
Retiree & Spouse $0
Family $0
Delta Dental Plan Option 1
(Point-of-Service)
Retiree Only $24.09
Retiree & Children $60.42
Retiree & Spouse $48.97
Family $91.88
Delta Dental Plan Option 2
(Standard)
Retiree Only $8.12
Retiree Children $19.07
Retiree & Spouse $16.62
Family $29.89
Vision Plan
2024 Vision Plan Premiums
Monthly Premium
Retiree Only $7.91
Retiree & Children $15.30
Retiree & Spouse $14.34
Family $23.15

2025 Medical Plan Premiums
(Rates below do not include tobacco-user additional premium, if applicable)

Monthly Premium
Premier CDHP
Retiree Only $781.10
Retiree & Children $1,405.95
Retiree & Spouse $1,718.40
Retiree & Family $2,343.27
Standard CDHP
Retiree Only $716.33
Retiree & Children $1,289.40
Retiree & Spouse $1,575.95
Retiree & Family $2,148.99
Limited CDHP
Retiree Only $683.76
Retiree & Children $1,230.57
Retiree & Spouse $1,504.57
Retiree & Family $2,051.30
Dental Plan
2025 Dental Plan Premiums
Monthly Premium
Preventive Only
Retiree Only $0
Retiree & Children $0
Retiree & Spouse $0
Family $0
Delta Dental Plan Option 1
(Point-of-Service)
Retiree Only $30.77
Retiree & Children $77.99
Retiree & Spouse $62.51
Family $118.22
Delta Dental Plan Option 2
(Standard)
Retiree Only $11.61
Retiree Children $28.21
Retiree & Spouse $23.69
Family $43.83
Vision Plan
2025 Vision Plan Premiums
Monthly Premium
Retiree Only $8.02
Retiree & Children $15.51
Retiree & Spouse $14.54
Family $23.47

Official Retirees

  • PURcare (UHC Senior Supplement plus Part D prescription plan). $298.39/member
  • PURcare members with VA or Tricare Rx coverage will be $192.85/member
  • UHC Group Medicare Advantage PPO (including Part D prescription plan). $172.91/member
  • PURcare (UHC Senior Supplement plus Part D prescription plan). $355.94/member
  • PURcare members with VA or Tricare Rx coverage will be $219.88/member
  • UHC Group Medicare Advantage PPO (including Part D prescription plan). $241.94/member

Former Employees

Information on Long Term Disability (LTD) coverage, including plan premiums, is available here.

Information on COBRA coverage, including medical plan premiums, is available here.

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