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Retiree Medical Rates
Effective 1/1/2022
COVERAGE
ANNUAL
MONTHLY
SINGLE
$9,681.00
$806.75
1 CHILD ONLY
$2,373.00
$197.75
2 CHILDREN ONLY
$4,749.00
$395.75
3 CHILDREN ONLY
$7,122.00
$593.50
SPOUSE ONLY
$7,278.00
$606.50
FAMILY
$11,019.00
$918.25
Note: To calculate the total cost for single and dependent coverage, add the two rates together. Example: The annual single rate is $9,681 and the annual spouse rate is $7,278. The total single and spouse rate is $16,959.
COBRA Medical Rates
Effective 1/1/2022
COVERAGE
ANNUAL
MONTHLY
SINGLE
$9,874.62
$822.89
1 CHILD ONLY
$2,420.46
$201.71
2 CHILDREN ONLY
$4,843.98
$403.67
3 CHILDREN ONLY
$7,264.44
$605.37
SPOUSE ONLY
$7,423.56
$618.63
FAMILY
$11,239.38
$936.62
Note: To calculate the total cost for single and dependent coverage, add the two rates together. Example: The annual single rate is $9,874.62 and the annual spouse rate is $7,423.56. The total single and spouse rate is $17,298.18.