DB Plan Health Premiums

Medical

Tier II/III retirees without system-paid medical
Coverage Level 2020 Monthly Premium 2021 Monthly Premium
Retiree Only $741 $704
Retiree and Spouse $1,482 $1,408
Retiree and Child(ren) $1,047 $995
Retiree and Family $1,788 $1,699

Dental-Vision-Audio

The dental plan monthly premiums are set to reflect the overall value of each plan across all enrolled members. The value of each plan varies based on differences in benefit design, network access, and how much the plan pays out-of-network providers. The rates are not impacted by how many people elect one plan or the other.

Retiree Dental/Vision/Audio Coverage with Standard Dental Plan
Coverage Level 2020 Monthly Premiums 2021 Monthly Premiums
Retiree Only $66 $66
Retiree and Spouse $131 $131
Retiree and Child(ren) $119 $119
Retiree and Family $187 $187
Retiree Dental/Vision/Audio Coverage with Legacy Dental Plan
Coverage Level 2020 Monthly Premiums 2021 Monthly Premiums
Retiree Only $73 $73
Retiree and Spouse $145 $145
Retiree and Child(ren) $132 $132
Retiree and Family $207 $207

More information about this voluntary plan…


Please note: Retirees who pay monthly Health and/or DVA premiums through Direct Bill will be assessed a 2% administrative fee.

Long-Term Care

View all LTC Premiums »

If you are paying for the medical or DVA plan, the deduction is listed on your check stub as "MED INSURANCE" and/or "DVA INSURANCE." Please check to ensure you are paying for the correct level of coverage and notify the Division if changes are necessary.