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 Dean||$1,095.42||$2,705.62|
|Aspirus Health Plan||$1,108.36||$2,737.96|
|Common Ground Healthcare Cooperative||$1,035.06||$2,554.70|
|Dean Health Plan||$814.76||$2,003.96|
|Dean Health Plan - Prevea360 East||$826.38||$2,033.00|
|Dean Health Plan - Prevea360 West and Mayo Clinic Health System||$944.60||$2,328.56|
|GHC of Eau Claire Greater Wisconsin||$823.42||$2,025.60|
|GHC of Eau Claire River Region||$1,067.98||$2,637.00|
|GHC of South Central Wisconsin||$703.62||$1,726.10|
|HealthPartners Health Plan Southeast||$1,124.52||$2,778.36|
|HealthPartners Health Plan West||$1,092.30||$2,697.80|
|Medical Associates Health Plan||$747.32||$1,835.36|
|MercyCare Health Plan||$742.36||$1,822.96|
|Quartz - UW Health||$782.04||$1,922.16|
|Robin with HealthPartners Health Plan||$1,261.28||$3,120.26|
|Security Health Plan||$1,159.90||$2,866.80|
|State Maintenance Plan (SMP)1 by Dean Health Plan||$855.68||$2,106.26|
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.