Form Number: et-2107prtr

These premium amounts may be withdrawn from your accumulated sick leave conversion credits or WRS annuity payment, or you may be directly billed by your health plan.

You and your dependents who are eligible for Medicare must be enrolled in Parts A and B upon retirement or when initially eligible. When you and/or your dependents are eligible, your group health insurance coverage will be coordinated with Medicare and your monthly premium will be reduced. If you are a HDHP Family w/ Medicare Dependent, view the non-Medicare rates.

Medicare 1 = Family coverage with at least one insured family member enrolled in Medicare Parts A, B and D.
Medicare 2 = Family coverage with all insured family members enrolled in Medicare Parts A, B and D.

Health Plan With Dental
Medicare single / Medicare 1 / Medicare 2
Without Dental
Medicare single / Medicare 1 / Medicare 2
Dean Health Insurance $451.60  /  $1,105.00  /  $882.64 $421.40  /  $1,044.60  /  $822.24
Dean Health Insurance - Prevea360 $502.20  /  $1,211.50  /  $983.84 $472.00  /  $1,151.10  /  $923.44
Group Health Cooperative of Eau Claire $513.50  /  $1,326.90  /  $1,006.44 $483.30  /  $1,266.50  /  $946.04
Group Health Cooperative of South Central Wisconsin $471.20  /  $1,104.00  /  $921.84 $441.00  /  $1,043.60  /  $861.44
HealthPartners Health Plan $424.20  /  $1,199.40  /  $827.84 $394.00  /  $1,139.00  /  $767.44
Medical Associates Health Plan $387.40  /  $1,064.60  /  $754.24 $357.20  /  $1,004.20  /  $693.84
Medicare Advantage by UnitedHealthCare $308.52  /  Not available  /  $596.48 $278.32  /  Not available  /  $536.08
Medicare Plus by WEA Trust $401.70  /  $1,917.46  /  $782.84 $371.50  /  $1,857.06  /  $722.44
MercyCare Health Plan $436.68  /  $1,109.46  /  $852.80 $406.48  /  $1,049.06  /  $792.40
Network Health $471.30  /  $1,244.40  /  $922.04 $441.10  /  $1,184.00  /  $861.64
Quartz - Community $484.32  /  $1,266.04  /  $948.08 $454.12  /  $1,205.64  /  $887.68
Quartz - UW Health $434.16  /  $1,093.50  /  $847.76 $403.96  /  $1,033.10  /  $787.36
Robin with HealthPartners Health Plan $424.20  /  $1,199.40  /  $827.84 $394.00  /  $1,139.00  /  $767.44
Security Health Plan - Central $466.16  /  $1,292.14  /  $911.76 $435.96  /  $1,231.74  /  $851.36
Security Health Plan - Valley $473.52  /  $1,319.92  /  $926.48 $443.32  /  $1,259.52  /  $866.08
State Maintenance Plan (SMP)1 by WEA Trust $401.70  /  $1,374.36  /  $782.84 $371.50  /  $1,313.96  /  $722.44
WEA Trust - East $452.00  /  $1,257.90  /  $883.44 $421.80  /  $1,197.50  /  $823.04
WEA Trust West - Chippewa Valley $451.50  /  $1,256.30  /  $882.44 $421.30  /  $1,195.90  /  $822.04
 WEA Trust West - Mayo Clinic Health System $451.50  /  $1,256.30  /  $882.44 $421.30  /  $1,195.90  /  $822.04

1Members with IYC Access and Access HDHP, or SMP coverage who enroll in IYC Medicare Parts A and B will automatically be moved to the Medicare Plus plan. All other non-Medicare family members will remain covered under the IYC Access and Access HDHP or SMP.  

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