Form Number: et-2169pr
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||$1,031.70||$2,548.40|
|Dean Health Insurance||$546.44||$1,335.26|
|Dean Health Insurance-Prevea360||$549.02||$1,341.70|
|Group Health Cooperative of Eau Claire||$664.54||$1,630.50|
|Group Health Cooperative of South Central Wisconsin||$547.50||$1,337.90|
|HealthPartners Health Plan||$783.12||$1,926.96|
|Medical Associates Health Plan||$487.38||$1,187.60|
|MercyCare Health Plan||$609.06||$1,491.80|
|Quartz - Community||$628.84||$1,541.26|
|Quartz - UW Health||$526.76||$1,286.06|
|Robin with HealthPartners Health Plan||$783.12||$1,926.96|
|Security Health Plan - Central||$927.16||$2,287.06|
|Security Health Plan - Valley||$923.88||$2,278.86|
|State Maintenance Plan (SMP)1 by WEA Trust||$683.38||$1,677.62|
|WEA Trust - East||#REF!||$1,715.96|
|WEA Trust West - Chippewa Valley||$698.72||$2,095.00|
|WEA Trust West - Mayo Clinic Health System||$850.34||$1,962.80|
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.