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MPSERS Health Rates HMO and BCMSM Jan 1, 2016

Sep 28, 2015

    Member   Member    
    Premium Subsidy Premium Subsidy Total
    20% 80% 10% 90% Premium
Without Medicare          
  Self  $ 149.45  $    597.81  $       74.73  $    672.53  $     747.26
  Self and Spouse  $ 275.45  $ 1,101.82  $     137.73  $  1,239.54  $  1,377.27
  Self and Child(ren)  $ 204.69  $    818.77  $     102.35  $    921.11  $  1,023.46
  Self, Spouse & Child(ren)  $ 330.69  $ 1,322.78  $     165.35  $  1,488.12  $  1,653.47
             
With Medicare          
  Self  $   50.91  $    203.63  $       25.45  $    229.09  $     254.54
  Self and Spouse  $   96.88  $    387.50  $       48.44  $    435.94  $     484.38
  Self and Child(ren)  $ 102.47  $    409.87  $       51.23  $    461.11  $     512.34
  Self, Spouse & Child(ren)  $ 148.44  $    593.74  $       74.22  $    667.96  $     742.18
             
One With and One Without Medicare        
  Self Without & Spouse With  $ 195.42  $    781.68  $       97.71  $    879.39  $     977.10
  Self With & Spouse Without  $ 176.91  $    707.64  $       88.45  $    796.10  $     884.55
  Self Without, Spouse With & Child(ren)  $ 246.98  $    987.92  $     123.49  $  1,111.41  $  1,234.90
  Self With, Spouse Without & Child(ren)  $ 232.15  $    928.60  $     116.07  $  1,044.68  $  1,160.75
             
             
Parent Coverage          
  Parent under 65  $ 126.00  $    504.01  $       63.00  $    567.01  $     630.01
  Parent over 65  $   45.97  $    183.87  $       22.99  $    206.85  $     229.84