Office of Human Resources - Benefits Design & Management
Related Links
- Retirement Plans
- ASU Retiree Benefits Handbook (.pdf)
- ASRS Retiree Health Insurance Guide
- ADOA 2009-10 Guides & Forms
- IRS Contribution Limits
- Retirement Checklist
- Retiree Accumulated Sick Leave (RASL) Program
QUESTIONS? HR Faculty Services E-FAX |
ARIZONA DEPARTMENT OF ADMINISTRATION—BENEFIT SERVICES DIVISION
2009-10 Retiree Health Care Premium Rates | Effective October 1, 2009
Plan |
WITHOUT MEDICARE |
|
WITH MEDICARE |
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| Retiree Only |
Retiree + One |
Retiree + Family |
Retiree Only |
Retiree + One (Both with Medicare) |
Retiree + One (One with Medicare, One without Medicare) |
Retiree + One (With Medicare; other dependents without) |
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STATEWIDE |
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| CIGNA EPO Aetna EPO Ameriben EPO United Healthcare EPO |
$537.00 | $1,255.00 | $1,691.00 | $400.00 | $795.00 | $927.00 | $1,055.00 | |
| Aetna PPO Ameriben PPO United Healthcare PPO |
$853.00 | $2,008.00 | $2,782.00 | $ 714.00 | $1,426.00 | $1,575.00 | $1,792.00 | |
| MARICOPA, PINAL and PIMA COUNTIES | ||||||||
| SecureHorizons High* | Not applicable | $258.00 | $512.00 | $738.00 | $863.00 | |||
| SecureHorizons Low* | $150.00 | $296.00 | $573.00 | $605.00 | ||||
| COCHISE, COCONINO, GRAHAM, GREENLEE, LAPAZ, SANTA CRUZ, YAVAPAI AND YUMA COUNTIES | ||||||||
| SecureHorizons High* | Not applicable | $386.00 | $767.00 | $866.00 | $1,033.00 | |||
| SecureHorizons Low* | $223.00 | $442.00 | $646.00 | $ 676.00 | ||||
| *SecureHorizons will remain in effect until 12.31.09. Refer to the ADOA Benefit Guide for Retired State Employees for more information or contact the ADOA. | ||||||||
| Delta Dental | $34.82 | $77.85 | $131.82 | Having or not having Medicare has no impact on the choice or cost of these plans. |
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| Total Dental Administrators | $9.96 | $18.92 | $27.70 | |||||
| Avesis Vision | $4.83 | $13.52 | $16.89 | |||||