Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium.
Plan Year
    2025
Program Option
    Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits

Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium.
Plan Year
    2025
Program Option
    Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits

Medicare Health Plan Premium Rates

How much you will pay each month for your health care premium.
Plan Year
    2025
Program Option
    Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
ET-8945
Form Other Benefit Recipient

Vendor Privacy Incident Report

Use this form to report any possible or confirmed breaches of protected health information (PHI) or personally identifiable information (PII).