Form Number: et-2168pr
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||$1,159.84||$2,864.30|
|Aspirus Health Plan||$1,043.92||$2,574.48|
|Dean Health Insurance||$794.84||$1,951.78|
|Dean Health Insurance-Prevea360||$787.56||$1,933.58|
|Group Health Cooperative of Eau Claire||$807.70||$1,983.94|
|Group Health Cooperative of South Central Wisconsin||$680.74||$1,666.54|
|HealthPartners Health Plan||$1,068.02||$2,634.74|
|Medical Associates Health Plan||$741.32||$1,817.98|
|MercyCare Health Plan||$699.96||$1,714.58|
|Quartz - UW Health||$721.92||$1,769.48|
|Robin with HealthPartners Health Plan||$1,112.02||$2,744.74|
|State Maintenance Plan (SMP)1 by WEA Trust||$906.98||$2,232.14|
|WEA Trust - East||$968.70||$2,386.44|
|WEA Trust West - Chippewa Valley||$1,102.46||$2,720.84|
|WEA Trust West - Mayo Clinic Health System||$1,085.98||$2,679.64|
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.