Form Number: et-2128pr
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||$1,263.84||$3,128.78|
|Dean Health Insurance||$669.80||$1,643.66|
|Dean Health Insurance-Prevea360||$673.00||$1,651.66|
|Group Health Cooperative of Eau Claire||$815.60||$2,008.16|
|Group Health Cooperative of South Central Wisconsin||$671.10||$1,646.90|
|HealthPartners Health Plan||$962.00||$2,374.16|
|Medical Associates Health Plan||$596.90||$1,461.40|
|MercyCare Health Plan||$747.12||$1,836.96|
|Quartz - Community||$771.54||$1,898.00|
|Quartz - UW Health||$645.50||$1,582.90|
|Robin with HealthPartners Health Plan||$962.00||$2,374.16|
|Security Health Plan - Central||$1,139.82||$2,818.70|
|Security Health Plan - Valley||$1,135.78||$2,808.60|
|State Maintenance Plan (SMP)1 by WEA Trust||$834.98||$2,056.60|
|WEA Trust - East||$857.80||$2,113.66|
|WEA Trust West - Chippewa Valley||$1,045.00||$2,581.66|
|WEA Trust West - Mayo Clinic Health System||$979.70||$2,418.40|
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.