Form Number: et-2158pr
The employee and non-Medicare Retiree health plan rates reflect total monthly premium rates for each health plan.
Members of new participating employers may have a surcharge added to their rates. Your employer will inform you. Contact your payroll office with questions.
|Access Plan1 by WEA Trust||$1,175.26||$2,907.32|
|Dean Health Insurance||$623.70||$1,528.40|
|Dean Health Insurance-Prevea360||$626.64||$1,535.76|
|Group Health Cooperative of Eau Claire||$757.84||$1,863.76|
|Group Health Cooperative of South Central Wisconsin||$624.90||$1,531.40|
|HealthPartners Health Plan||$892.52||$2,200.46|
|Medical Associates Health Plan||$556.64||$1,360.76|
|MercyCare Health Plan||$694.84||$1,706.26|
|Quartz - Community||$717.30||$1,762.40|
|Quartz - UW Health||$601.34||$1,472.50|
|Robin with HealthPartners Health Plan||$892.52||$2,200.46|
|Security Health Plan - Central||$1,056.12||$2,609.46|
|Security Health Plan - Valley||$1,052.40||$2,600.16|
|State Maintenance Plan (SMP)1 by WEA Trust||$778.14||$1,914.52|
|WEA Trust - East||$796.66||$1,960.80|
|WEA Trust West - Chippewa Valley||$968.88||$2,391.36|
|WEA Trust West - Mayo Clinic Health System||$908.80||$2,241.16|
1Members with Local Access Plan or SMP coverage who enroll in Medicare Parts A and B will automatically be moved to the IYC Medicare Plus plan. All other non-Medicare family members remain covered under the Local Access Plan or SMP.