|
|
 |
North Coast Schools'
Medical Insurance Group (NCSMIG)
2007/2008 Medical Plan Rates
Adopted March 21, 2007 |
| Plan
A |
|
|
| Active
Employees |
900.50
|
Composite
Rate |
| Retirees
Under 65 |
789.16
|
Per
Person |
| Retirees
65 and Over |
|
|
| Without
Medicare |
1,223.96
|
Per
Person |
| With
Medicare A & B |
550.10
|
Per
Person |
With
Medicare B only |
1,104.31
|
Per
Person |
| Dependents
of Retirees |
|
|
| Under
25 |
208.15
|
Per
Person |
| 25
and Over |
768.71
|
Per
Person |
|
| Plan
A1 |
|
|
| Active
Employees |
913.36
|
Composite
Rate |
| Retirees
Under 65 |
913.36
|
Composite
Rate |
| Retirees
65 and Over |
|
|
| Without
Medicare |
1,223.96
|
Per
Person |
| With
Medicare A & B |
550.10
|
Per
Person |
| With
Medicare B only |
1,104.31
|
Per
Person |
| Dependents
of Retirees |
|
|
| Under
25 |
208.15
|
Per
Person |
| 25
and Over |
768.71
|
Per
Person |
|
| Plan
B |
|
|
| Active
Employees |
838.30
|
Composite
Rate |
| Retirees
Under 65 |
734.72
|
Per
Person |
| Retirees
65 and Over |
|
|
| Without
Medicare |
1,139.51
|
Per
Person |
| With
Medicare A & B |
512.24
|
Per
Person |
| With
Medicare B only |
1,028.27
|
Per
Person |
| Dependents
of Retirees 65 and Over |
|
|
| Under
25 |
193.75
|
Per
Person |
| 25
and Over |
715.50
|
Per
Person |
|
| Plan
B1 |
|
|
| Active
Employees |
851.15
|
Composite
Rate |
| Retirees
Under 65 |
851.15
|
Composite
Rate |
| Retirees
65 and Over |
|
|
| Without
Medicare |
1,139.51
|
Per
Person |
| With
Medicare A & B |
512.24
|
Per
Person |
| With
Medicare B only |
1,028.27
|
Per
Person |
| Dependents
of Retirees 65 and Over |
|
|
| Under
25 |
193.75
|
Per
Person |
| 25
and Over |
715.50
|
Per
Person |
|
| Plan
C |
|
|
| Active
Employees |
895.10
|
Composite
Rate |
| Retirees
Under 65 |
895.10
|
Composite
Rate |
| Retirees
65 and Over |
|
|
| Without
Medicare |
1,216.62
|
Per
Person |
| With
Medicare A & B |
546.91
|
Per
Person |
| With
Medicare B only |
1,097.82
|
Per
Person |
| Dependents
of Retirees 65 and Over |
|
|
| Under
25 |
206.82
|
Per
Person |
| 25
and Over |
763.99
|
Per
Person |
|
| Plan
D |
|
|
| Active
Employees |
838.30
|
Composite
Rate |
| Retirees
Under 65 |
734.72
|
Per
Person |
| Retirees
65 and Over |
|
|
| Without
Medicare |
1,139.51
|
Per
Person |
| With
Medicare A & B |
512.24
|
Per
Person |
| With
Medicare B only |
1,028.27
|
Per
Person |
| Dependents
of Retirees |
|
|
| Under
25 |
193.75
|
Per
Person |
| 25
and Over |
715.50
|
Per
Person |
|
| Plan
D1 |
|
|
| Active
Employees |
851.15
|
Composite
Rate |
| Retirees
Under 65 |
851.15
|
Composite
Rate |
| Retirees
65 and Over |
|
|
| Without
Medicare |
1,139.51
|
Per
Person |
| With
Medicare A & B |
512.24
|
Per
Person |
| With
Medicare B only |
1,028.27
|
Per
Person |
| Dependents
of Retirees 65 and Over |
|
|
| Under
25 |
193.75
|
Per
Person |
| 25
and Over |
715.50
|
Per
Person |
|
| Plan
E |
|
|
| Active
Employees |
760.86
|
Composite
Rate |
| Retirees
Under 65 |
666.90
|
Per
Person |
| Retirees
65 and Over |
|
|
| Without
Medicare |
1,034.21
|
Per
Person |
| With
Medicare A & B |
464.94
|
Per
Person |
| With
Medicare B only |
933.23
|
Per
Person |
| Dependents
of Retirees |
|
|
| Under
25 |
175.76
|
Per
Person |
| 25
and Over |
649.34
|
Per
Person |
|
| Plan
E1 |
|
|
| Active
Employees |
773.71
|
Composite
Rate |
| Retirees
Under 65 |
773.71
|
Composite
Rate |
| Retirees
65 and Over |
|
|
| Without
Medicare |
1,034.21
|
Per
Person |
| With
Medicare A & B |
464.94
|
Per
Person |
| With
Medicare B only |
933.23
|
Per
Person |
| Dependents
of Retirees 65 and Over |
|
|
| Under
25 |
175.76
|
Per
Person |
| 25
and Over |
649.34
|
Per
Person |
|
| Plan
F |
|
|
| Active
Employees |
685.26
|
Composite
Rate |
| Retirees
Under 65 |
600.59
|
Per
Person |
| Retirees
65 and Over |
|
|
| Without
Medicare |
931.31
|
Per
Person |
| With
Medicare A & B |
418.68
|
Per
Person |
| With
Medicare B only |
840.38
|
Per
Person |
| Dependents
of Retirees |
|
|
| Under
25 |
158.25
|
Per
Person |
| 25
and Over |
584.93
|
Per
Person |
|
| Plan
F1 |
|
|
| Active
Employees |
698.11
|
Composite
Rate |
| Retirees
Under 65 |
698.11
|
Composite
Rate |
| Retirees
65 and Over |
|
|
| Without
Medicare |
931.31
|
Per
Person |
| With
Medicare A & B |
418.68
|
Per
Person |
| With
Medicare B only |
840.38
|
Per
Person |
| Dependents
of Retirees 65 and Over |
|
|
| Under
25 |
158.25
|
Per
Person |
| 25
and Over |
584.93
|
Per
Person |
|
|
|
