Form Number: et-2128pr
The employee and non-Medicare Retiree health plan rates reflect total monthly premium rates for each health plan. Total monthly premiums are shown without Uniform Dental.
Members of new participating employers may have a surcharge added to their rates. Your employer will inform you. Contact your payroll office with questions.
| Health Plan | Individual | Family |
|---|---|---|
| Access Plan1 by WEA Trust | $1,224.54 | $3,026.04 |
| Aspirus Health Plan | $1,101.22 | $2,717.74 |
| Dean Health Insurance | $836.24 | $2,055.28 |
| Dean Health Insurance-Prevea360 | $828.50 | $2,035.94 |
| Group Health Cooperative of Eau Claire | $849.92 | $2,089.48 |
| Group Health Cooperative of South Central Wisconsin | $714.86 | $1,751.84 |
| HealthPartners Health Plan | $1,126.86 | $2,781.84 |
| Medical Associates Health Plan | $779.32 | $1,912.98 |
| MercyCare Health Plan | $735.32 | $1,802.98 |
| Network Health | $870.22 | $2,140.24 |
| Quartz Central | $1,072.42 | $2,645.74 |
| Quartz - UW Health | $758.68 | $1,861.38 |
| Quartz West | $899.18 | $2,212.64 |
| Robin with HealthPartners Health Plan | $1,173.68 | $2,898.88 |
| State Maintenance Plan (SMP)1 by WEA Trust | $973.12 | $2,397.50 |
| WEA Trust - East | $1,021.20 | $2,517.68 |
| WEA Trust West - Chippewa Valley | $1,163.50 | $2,873.44 |
| WEA Trust West - Mayo Clinic Health System | $1,145.98 | $2,829.64 |
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.