DC Plan Health Premiums

Medical

Retiree and Spouse (if applicable) are Medicare Age Eligible
Coverage Level Monthly Premium
Retiree Only 314.50
Retiree and Spouse $629.00
Retiree and Child(ren) $833.00
Retiree and Family $1,147.50
Retiree and Spouse (if applicable) are not Medicare Age Eligible
Coverage Level Monthly Premium
Retiree Only $1,073.00
Retiree and Spouse $2,146.00
Retiree and Child(ren) $1,592.00
Retiree and Family $2,665.00
When only the Retiree or the Spouse is Medicare Age Eligible
Coverage Level Monthly Premium
Retiree and Spouse $1,387.50
Retiree and Family $1,906.00

Dental-Vision-Audio

Current rates, effective 1/1/17
Coverage Level Monthly Premiums
Retiree Only $67.32
Retiree and Spouse $133.62
Retiree and Child(ren) $121.38
Retiree and Family $190.74

More information about this voluntary plan…