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State Insurance Retiree Health Plan Rates - FY2019

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Years of Service at Retirement* Contribution Percentage
QCHP Coverage
Medicare
Total Rate = $415.30
Non-Medicare
Total Rate = $1,151.96
HMO Coverage
Medicare
Total Rate = $558.22
Non-Medicare
Total Rate = $939.12
0 100% $415.30 $1,151.96 $558.22 $939.12
1 95% $394.53 $1,094.36 $530.30 $892.16
2 90% $373.77 $1,036.76 $502.39 $845.20
3 85% $353.00 $979.16 $474.48 $798.25
4 80% $332.24 $921.56 $446.57 $751.29
5 75% $311.47 $863.97 $418.66 $704.34
6 70% $290.71 $806.37 $390.75 $657.38
7 65% $269.94 $748.77 $362.84 $610.42
8 60% $249.18 $691.17 $334.93 $563.47
9 55% $228.41 $633.57 $307.02 $516.51
10 50% $207.65 $575.98 $279.11 $469.56
11 45% $186.88 $518.38 $251.19 $422.60
12 40% $166.12 $460.78 $223.28 $375.64
13 35% $145.35 $403.18 $195.37 $328.69
14 30% $124.59 $345.58 $167.46 $281.73
15 25% $103.82 $287.99 $139.55 $234.78
16 20% $83.06 $230.39 $111.64 $187.82
17 15% $62.29 $172.79 $83.73 $140.86
18 10% $41.53 $115.19 $55.82 $93.91
19 5% $20.76 $57.59 $27.91 $46.95
20+ 0% $    - $    - $    - $    -
* the rates shown for less than 8 years of service apply to survivors.
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