Monthly Coverage Payment Schedulesas of February 1, 2022
Early Retirees Ages 55 through 62 | ||
Health Plan |
Monthly Payment |
|
Kaiser |
$ 2,455.00 |
|
Blue Shield HMO |
$ 2,649.00 |
|
Self-Funded PPO |
$ 2,582.00 |
|
Early Retirees Ages 62 through 64 Who Have Already Satisfied Service Requirements to Qualify as a Regular Retiree at age 62 or Rule of 85 (Section 4.3(d)) |
||
Health Plan |
Monthly Payment |
|
Kaiser |
$ 856.00 |
|
Blue Shield HMO |
$ 856.00 |
|
Self-Funded PPO |
$ 856.00 |
|
Early Retirees Ages 62 through 64 Who Must Continue Participation as an Early Retire to Qualify as a Regular Retiree at age 62 (Section 4.3(c) |
||
Health Plan |
Monthly Payment |
|
Kaiser – Single |
$ 982.00 |
|
Kaiser – Family |
$ 1473.00.00 |
|
Blue Shield HMO – Single |
$ 1,060.00 |
|
Blue Shield HMO - Family |
$ 1,589.00 |
|
Self-Funded PPO – Single |
$ 1,033.00 |
|
Self-Funded PPO - Family |
$ 1,549.00 |
|
Regular Retirees Age 65 and older, Early Retirees Having Reached Age 65 and Older, Disabled Retirees, Surviving Spouses or Domestic Partners -- All Plans |
||
Age |
Monthly Payment |
|
Under Age 65 |
$ 737.00 |
|
Ages 65 through 74 |
Single: $ 295.00 |
|
Retirees who attained age 75 before 1/1/2007 |
$ 0.00 |