Monthly GIC Plan Rates as of July 1, 2016

For information on how to calculate premiums for retiree and spouse coverage if under and over age 65, see the Medicare and Your GIC Benefits section.

Download the FY17 Rate Sheet pdf format of 2016_RMTratesheet.pdf

How to Calculate Your Monthly Premium as of July 1, 2016

  1. Find the city, town or the school district from which you retired on the Life Insurance Rate Chart.
  2. Locate your “RMT Pays Monthly” rate for life insurance.
  3. Add that amount to the “RMT Pays Monthly” rate below for the health plan you are interested in to determine your monthly health and life insurance premium.

NON - MEDICARE PLANS

 

Retired Municipal Teachers (RMTs)

 

RMTs who retired

On or Before July 1, 1990 and Survivors1

RMTs who retired After July 1, 1990

 

10%

15%

HEALTH PLAN

PLAN TYPE

RMT/ Survivor Pays Monthly

Individual Coverage

RMT/ Survivor Pays Monthly

Family Coverage

RMT Pays Monthly

Individual Coverage

RMT Pays Monthly

Family Coverage

Fallon Health Direct CareHMO

$51.79

$124.31

$77.69

$186.46

Fallon Health Select CareHMO

68.83

165.18

103.24

247.76

Health New EnglandHMO

53.30

132.14

79.95

198.21

NHP Prime (Neighborhood Health Plan)HMO

51.04

135.26

76.56

202.89

UniCare State Indemnity Plan/Basic with CIC3, 4 (comprehensive)

Indemnity

128.52

310.79

173.98

420.06

UniCare State Indemnity Plan/Basic without CIC (non-comprehensive)4

Indemnity

84.91

202.54

130.37

311.81

 

1 Survivors are not eligible for basic life insurance.  Do not add the basic life insurance premium to calculate your monthly premium.

2 Benefits and rates of Fallon Senior Plan and Tufts Health Plan Medicare Preferred are subject to federal approval and may change on January 1, 2017.

3 CIC is an enrollee-pay-all benefit.

4 The RMT share of the rate for these plans has been subsidized for FY17 using funds from the GIC UniCare Rate Stabilization Reserve.



This information provided by the Group Insurance Commission .