Form Number: et-2168pr
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||$1,197.40||$2,962.66|
|Dean Health Insurance||$635.22||$1,557.20|
|Dean Health Insurance-Prevea360||$638.24||$1,564.76|
|Group Health Cooperative of Eau Claire||$772.28||$1,899.86|
|Group Health Cooperative of South Central Wisconsin||$636.44||$1,560.26|
|HealthPartners Health Plan||$909.90||$2,243.90|
|Medical Associates Health Plan||$566.70||$1,385.90|
|MercyCare Health Plan||$707.90||$1,738.90|
|Quartz - Community||$730.86||$1,796.30|
|Quartz - UW Health||$612.38||$1,500.10|
|Robin with HealthPartners Health Plan||$909.90||$2,243.90|
|Security Health Plan - Central||$1,077.04||$2,661.76|
|Security Health Plan - Valley||$1,073.24||$2,652.26|
|State Maintenance Plan (SMP)1 by WEA Trust||$792.34||$1,950.02|
|WEA Trust - East||$811.94||$1,999.00|
|WEA Trust West - Chippewa Valley||$987.92||$2,438.96|
|WEA Trust West - Mayo Clinic Health System||$926.52||$2,285.46|
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.