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State Insurance Retiree Health Plan Rates - FY2018

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Years of Service at Retirement* Contribution Percentage
QCHP Coverage
Medicare
Total Rate = $430.42
Non-Medicare
Total Rate = $1,244.92
HMO Coverage
Medicare
Total Rate = $512.16
Non-Medicare
Total Rate = $910.52
0 100% $430.42 $1,244.92 $512.16 $910.52
1 95% $408.89 $1,182.67 $486.55 $864.99
2 90% $387.37 $1,120.42 $460.94 $819.46
3 85% $365.85 $1,058.18 $435.33 $773.94
4 80% $344.33 $995.93 $409.72 $728.41
5 75% $322.81 $933.69 $384.12 $682.89
6 70% $301.29 $879.44 $358.51 $637.36
7 65% $279.77 $809.19 $332.90 $591.83
8 60% $258.25 $746.95 $307.29 $546.31
9 55% $236.73 $684.70 $281.68 $500.78
10 50% $215.21 $622.46 $256.08 $455.26
11 45% $193.68 $560.21 $230.47 $409.73
12 40% $172.16 $497.96 $204.86 $364.20
13 35% $150.64 $435.72 $179.25 $318.68
14 30% $129.12 $373.47 $153.64 $273.15
15 25% $107.60 $311.23 $128.04 $227.63
16 20% $86.08 $248.98 $102.43 $182.10
17 15% $64.56 $186.73 $76.82 $136.57
18 10% $43.04 $124.49 $51.21 $91.05
19 5% $21.52 $62.24 $25.60 $45.52
20+ 0% $    - $    - $    - $    -
* The rates shown for less than 8 years of service apply to survivors.
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