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||$1,286.20||$3,182.00|
|Dean Health Insurance||$712.64||$1,748.08|
|Dean Health Insurance-Prevea360||$715.98||$1,756.44|
|Group Health Cooperative of Eau Claire||$835.02||$2,054.04|
|Group Health Cooperative of South Central Wisconsin||$719.52||$1,765.28|
|HealthPartners Health Plan||$946.82||$2,333.54|
|Medical Associates Health Plan||$640.62||$1,568.04|
|MercyCare Health Plan||$761.14||$1,869.34|
|Quartz - Community||$853.36||$2,099.88|
|Quartz - UW Health||$659.52||$1,615.28|
|Robin with HealthPartners Health Plan||$946.82||$2,333.54|
|State Maintenance Plan (SMP)1 by WEA Trust||$846.20||$2,082.00|
|WEA Trust - East||$881.50||$2,170.24|
|WEA Trust West - Chippewa Valley||$1,066.12||$2,631.78|
|WEA Trust West - Mayo Clinic Health System||$966.34||$2,382.34|
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.