Retiree Enrollment
Deadline Nov 30, 2019 at 11:59pm ET
Retiree Pre-Medicare Medical
Consumer Choice HDHP (HSA Eligible)
Monthly Cost
$271.84
01/01/
Pat
Morgan
Cameron

Retiree Pre-Medicare Medical

1 Who do you want to cover?


You

Pat

Morgan

Cameron

2 Which Medical plan would you like?

Plan Options Monthly Cost
View All Costs
$
$
$
Note If you choose a High Deductible Health Plan (HDHP), you get additional tax savings. Don't forget to open your Health Savings Account (HSA) or select your contribution amount.
Retiree Medicare Medical
Core Senior Advantage
Monthly Cost
N/A
01/01/
You
Supplemental Medical
Supplemental Medical Plan
Monthly Cost
N/A
01/01/
You
Pat
Morgan
Cameron
Retiree Medical HRA
Coverage
Monthly Cost
N/A
01/01/
You
Retiree Dental
Comprehensive Dental Plan
Monthly Cost
$20.00
01/01/
You
Pat
Morgan
Cameron

Retiree Dental

1 Who do you want to cover?


You

Pat

Morgan

Cameron

2 What dental plan would you like?

Plan Options WaivedMonthly Cost
View All Costs
$
$
$
Retiree Life Insurance
2 x Base Pay, $250,000
Monthly Cost
$5.50
01/01/
You

Retiree Life Insurance

1 Which option would you like?

Plan Options Monthly Cost
1 x Base Pay, $50,000 $0.00
2 x Base Pay, $100,000 $5.50
3 x Base Pay, $100,000 $10.20
Total
$297.34
 
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