DCR Plan Health Premiums

Medical

Retiree and Spouse (if applicable) are Medicare Age Eligible
Coverage Level 2020 Monthly Premium 2021 Monthly Premium
Retiree Only $320.79 $320.79
Retiree and Spouse $641.58 $641.58
Retiree and Child(ren) $849.66 $849.66
Retiree and Family $1,170.45 $1,170.45
Retiree and Spouse (if applicable) are not Medicare Age Eligible
Coverage Level 2020 Monthly Premium 2021 Monthly Premium
Retiree Only $1,094.46 $1,094.46
Retiree and Spouse $2,188.92 $2,188.92
Retiree and Child(ren) $1,623.84 $1,623.84
Retiree and Family $2,718.30 $2,718.30
When only the Retiree or the Spouse is Medicare Age Eligible
Coverage Level 2020 Monthly Premium 2021 Monthly Premium
Retiree and Spouse $1,415.25 $1,415.25
Retiree and Family $1,944.12 $1,944.12

NOTE: Premium amounts include the 2% administrative fee and are subject to change.

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 $67.32 $67.32
Retiree and Spouse $133.62 $133.62
Retiree and Child(ren) $121.38 $121.38
Retiree and Family $190.74 $190.74
Retiree Dental/Vision/Audio Coverage with Legacy Dental Plan
Coverage Level 2020 Monthly Premiums 2021 Monthly Premiums
Retiree Only $74.46 $74.46
Retiree and Spouse $147.90 $147.90
Retiree and Child(ren) $134.64 $134.64
Retiree and Family $211.14 $211.14

More information about this voluntary plan…

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.