2010 Retiree Medical Care Plan Rates
Under age 65 | Age 65 or over
Retirees Under Age 65
| IU PPO-$900 Deductible |
|
| One participant |
$ 404.20 |
| One participant and child(ren) |
$ 806.25 |
| Participant and spouse |
$ 985.63 |
| Family |
$1,119.33 |
COBRA
| IU PPO $900 Deductible |
|
|
|
| One participant |
$ 404.20 |
$24.38 |
| One participant and child(ren) |
$ 806.25 |
$43.90 |
| Participant and spouse |
$ 985.63 |
$57.26 |
| Participant and family |
$1,119.33 |
$83.52 |
| |
| IU PPO Blue Access |
|
|
|
| One participant |
$ 438.00 |
$24.38 |
| One participant and child(ren) |
$ 867.61 |
$43.90 |
| Participant and spouse |
$1,062.65 |
$57.26 |
| Participant and family |
$1,206.58 |
$83.52 |
| |
| IU HDHP PPO |
|
|
|
| One participant |
$326.52 |
$24.38 |
| One participant and child(ren) |
$651.31 |
$43.90 |
| Participant and spouse |
$796.21 |
$57.26 |
| Participant and family |
$904.23 |
$83.52 |
Retirees age 65 and over
| Anthem Blue Retiree Plan |
|
One participant
(Retiree or surviving spouse) |
$175.29 |
| Retiree and spouse |
$350.58 |
Benefit plan information on these web pages is in a summary
format and is not intended to replace actual plan documents. Indiana University
reserves the right to amend or terminate all or any part of any benefit
plan.
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