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.
|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|
|Quartz - UW Health||$758.68||$1,861.38|
|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.