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||$1,050.76||$2,593.40|
|Dean Health Insurance||$581.48||$1,420.18|
|Dean Health Insurance-Prevea360||$584.18||$1,426.94|
|Group Health Cooperative of Eau Claire||$680.60||$1,667.98|
|Group Health Cooperative of South Central Wisconsin||$587.06||$1,434.14|
|HealthPartners Health Plan||$771.16||$1,894.38|
|Medical Associates Health Plan||$523.14||$1,274.34|
|MercyCare Health Plan||$620.76||$1,518.38|
|Quartz - Community||$695.46||$1,705.14|
|Quartz - UW Health||$538.46||$1,312.64|
|Robin with HealthPartners Health Plan||$771.16||$1,894.38|
|State Maintenance Plan (SMP)1 by WEA Trust||$693.06||$1,699.16|
|WEA Trust - East||$718.26||$1,762.14|
|WEA Trust West - Chippewa Valley||$867.80||$2,135.98|
|WEA Trust West - Mayo Clinic Health System||$786.98||$1,933.94|
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.