Monthly GIC Plan Rates as of July 1, 2013
Download a State Retiree Rate Sheet (Not Yet Available)
NON-MEDICARE PLANS | NON-MEDICARE RETIREES Retired on or before July 1, 1994 And SURVIVORS1,2 | NON-MEDICARE RETIREES Retired after July 1, 1994 and who filed for retirement on or before October 1, 2009 | NON-MEDICARE RETIREES who filed for retirement after October 1, 2009 | ||||
10% | 15% | 20% | |||||
Retiree/Survivor Pays Monthly | Retiree Pays Monthly | Retiree Pays Monthly | |||||
Basic Life Insurance Only ($5,000 coverage) | $0.63 | $0.95 | $1.26 | ||||
HEALTH PLAN (Premium includes Basic Life Insurance) | PLAN TYPE | Individual Coverage | Family Coverage | Individual Coverage | Family Coverage | Individual Coverage | Family Coverage |
Fallon Community Health Plan Direct Care ($) | HMO | $47.57 | $113.29 | $71.36 | $169.94 | $95.15 | $226.59 |
Fallon Community Health Plan Select Care | HMO | 59.68 | 142.35 | 89.53 | 213.53 | 119.36 | 284.70 |
Harvard Pilgrim Independence Plan | PPO | 68.37 | 165.91 | 102.55 | 248.86 | 136.73 | 331.81 |
Harvard Pilgrim Primary Choice ($) | HMO | 54.82 | 132.85 | 82.23 | 199.28 | 109.64 | 265.70 |
Health New England ($) | HMO | 46.34 | 113.96 | 69.52 | 170.94 | 92.68 | 227.92 |
NHP Care (Neighborhood Health Plan) ($) | HMO | 46.19 | 121.37 | 69.29 | 182.06 | 92.39 | 242.74 |
Tufts Health Plan Navigator | PPO | 63.04 | 151.99 | 94.56 | 227.99 | 126.07 | 303.98 |
Tufts Health Plan Spirit ($) | EPO (HMO-TYPE) | 50.89 | 122.35 | 76.33 | 183.52 | 101.77 | 244.69 |
UniCare State Indemnity Plan/Basic with CIC3 (Comprehensive) | Indemnity | 129.57 | 301.05 | 173.64 | 403.50 | 217.69 | 505.94 |
UniCare State Indemnity Plan/Basic without CIC (Non-Comprehensive) | Indemnity | 88.12 | 204.90 | 132.19 | 307.35 | 176.24 | 409.79 |
UniCare State Indemnity Plan/Community Choice ($) | PPO-type | 43.30 | 103.02 | 64.95 | 154.54 | 86.59 | 206.05 |
UniCare State Indemnity Plan/PLUS | PPO-type | 62.77 | 148.94 | 94.17 | 223.41 | 125.55 | 297.88 |
1Survivors are not eligible for life insurance. For monthly health insurance premium cost, deduct $0.63 from monthly Retire/Survivor Pays premium.
2Elderly Governmental Retirees (EGRs) - call the GIC for monthly rates.
3CIC is an erollee pay-all benefit.
! Contribution percentages may change after the Commonwealth's FY14 budget is enacted. |
This information provided by the Group Insurance Commission.
