Insurance - HL 260 (1)

For any from among us the re-applied for the HCTC subsidy and are using Cone Retiree Healthcare Group, see revised rates below:  

 Correction To 2016 Pre-65 HCTC Rates

2016

HCTC RATES FOR UNDER AGE 65 RETIREES ENROLLMENT WORKSHEET WITH THE 72.5% SUBSIDY EFFECTIVE SEPTEMBER 2016 - DECEMBER 2016

	GOLD BUNDLED PLAN - Total cost includes medical, Prescription Drug, Dental, and Vision Maximizes benefits for Retirees and Qualified Dependents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$1,499.88	$3,396.73	$4,235.90
With 72.5% HCTC Applied	$412.47	$934.10	$1,164.87
	SILVER BUNDLED PLAN - Total cost includes medical, Prescription Drug, Dental, and Vision Maximizes benefits for Retirees and Qualified Dependents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$1,179.32	$2,627.39	$3,274.23
With 72.5% HCTC Applied	$324.31	$722.53	$900.41
	BRONZE BUNDLED PLAN - Total cost includes medical, Prescription Drug, Dental, and Vision Maximizes benefits for Retirees and Qualified Dependents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$846.12	$1,974.69	$2,458.35
With 72.5% HCTC Applied	$232.68	$543.04	$676.05
	COPPER BUNDLED PLAN - Total cost includes medical, Prescription Drug, Dental, and Vision Maximizes benefits for Retirees and Qualified Dependents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$745.23	$1,732.54	$2,155.66
With 72.5% HCTC Applied	$204.94	$476.45	$592.81
MEDICAL AND PRESCRIPTION DRUG PLANS ONLY
	BRONZE PLAN - Total cost includes Medical AND Prescription Drug ONLY for Retirees and Qualified Dependents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$784.88	$1,827.71	$2,274.63
With 72.5% HCTC Applied	$215.84	$502.62	$625.52
	COPPER PLAN - Total cost includes Medical AND Prescription Drug ONLY for Retirees and Qualified Dependents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$683.99	$1,585.56	$1,971.94
With 72.5% HCTC Applied	$188.10	$436.03	$542.28
DENTAL AND VISION
Single	$65.49	$65.49	$65.49
27.5% VEBA Member Pays	$18.01	$18.01	$18.01
Two-Person	$151.23	$151.23	$151.23
27.5% VEBA Member Pays	$41.59	$41.59	$41.59
Family	$187.97	$187.97	$187.97
27.5% VEBA Member Pays	$51.69	$51.69	$51.69

2017

HCTC RATES FOR UNDER AGE 65 RETIREES ENROLLMENT WORKSHEET WITH THE 72.5% SUBSIDY EFFECTIVE SEPTEMBER 2016 - DECEMBER 2016

	GOLD BUNDLED PLAN - Total cost includes medical, Prescription Drug, Dental, and Vision Maximizes benefits for Retirees and Qualified Dpeendents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$1,653.65	$3,887.41	$4,911.47
With 72.5% HCTC Applied	$454.75	$1,069.04	$1,350.65
	SILVER BUNDLED PLAN - Total cost includes medical, Prescription Drug, Dental, and Vision Maximizes benefits for Retirees and Qualified Dpeendents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$1,291.18	$3,017.47	$3,824.04
With 72.5% HCTC Applied	$355.07	$829.80	$1,051.61
	BRONZE BUNDLED PLAN - Total cost includes medical, Prescription Drug, Dental, and Vision Maximizes benefits for Retirees and Qualified Dpeendents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$915.22	$2,115.18	$2,394.78
With 72.5% HCTC Applied	$251.69	$581.67	$658.56
	COPPER BUNDLED PLAN - Total cost includes medical, Prescription Drug, Dental, and Vision Maximizes benefits for Retirees and Qualified Dpeendents eligible for Health Coverage Tax Credit
	□  RETIREE	□  RETIREE & SPOUSE	□  RETIREE & FAMILY
PLAN COST	$683.99	$1,585.56	$1,971.94
With 72.5% HCTC Applied	$188.10	$436.03	$542.28
Dental & Vision Rates (No Medical)
Single	$67.68	$67.68	$67.68
Two-Person	$131.13	$131.13	$131.13
Family	$225.05	$225.05	$225.05
If you purchase Dental & Vision ONLY, THERE IS NO SUBSIDY OF 72.5% AVAILABLE.

Cone Retiree Healthcare Group

cathy@coneretireebenefits.com  

Broker for The Trusts 

 


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