Human Resources

2009 Retiree Monthly Health Insurance Premiums

Sick Leave Insurance Program (SLIP)

Single Coverage

Plan	Monthly Premium	SLIP Pays	You Pay
Deductible 3 Plus	$646.46	$646.46	$0.00
Program 3 Plus	$643.23	$643.23	$0.00
Iowa Select	$640.92	$640.92	$0.00
Blue Access	$398.49	$398.49	$0.00
Blue Advantage	$383.30	$383.30	$0.00

 

Family Coverage

Plan	Monthly Premium	SLIP Pays	You Pay
Deductible 3 Plus	$1,512.76	$1,274.80	$237.96
Program 3 Plus	$1,505.17	$1,274.79	$230.38
Iowa Select	$1,499.75	$1,274.79	$224.96
Blue Access	$932.47	$932.47	$0.00
Blue Advantage	$896.94	$896.94	$0.00

 

Family Coverage
(State retiree without Medicare and spouse with Medicare)

Plan	Monthly Premium	SLIP Pays	You Pay
Deductible 3 Plus	$995.58	$995.58	$0.00
Program 3 Plus	$990.65	$990.65	$0.00
Iowa Select	$987.02	$987.02	$0.00
Blue Access	$613.68	$613.68	$0.00
Blue Advantage	$590.29	$590.29	$0.00

 

Family Coverage
(State retiree without Medicare, spouse with Medicare and minor dependent)

Plan	Monthly Premium	SLIP Pays	You Pay
Deductible 3 Plus	$1,202.45	$1,202.45	$0.00
Program 3 Plus	$1,196.48	$1,196.48	$0.00
Iowa Select	$1,192.10	$1,192.10	$0.00
Blue Access	$741.19	$741.19	$0.00
Blue Advantage	$712.94	$712.94	$0.00

 

Family Coverage
(State retiree without Medicare and spouse with Medicare enrolled in SilverScript)

Plan	Monthly Premium	SLIP Pays	You Pay
Deductible 3 Plus	NA	NA	NA
Program 3 Plus	$897.20	$897.20	$0.00
Iowa Select	$894.01	$894.01	$0.00
Blue Access	$556.07	$556.07	$0.00
Blue Advantage	$534.96	$534.96	$0.00

 

Family Coverage
(State retiree without Medicare and spouse with Medicare enrolled in SilverScript and minor dependent)

Plan	Monthly Premium	SLIP Pays	You Pay
Deductible 3 Plus	NA	NA	NA
Program 3 Plus	$1,009.66	$1,009.66	$0.00
Iowa Select	$1,006.07	$1,006.07	$0.00
Blue Access	$625.98	$625.98	$0.00
Blue Advantage	$602.28	$602.28	$0.00

 

10/29/2008