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Benefit Decision Guides
Benefit Changes Effective July 1, 2008
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Annual Enrollment and New Hire Forms

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Monthly GIC Plan Rates Effective July 1, 2008
Non-Medicare Health Plans

Download the pdfFY09 state employee, retiree and survivor rate sheet - includes planning councils and housing authorities.

pdfFY09 Retired Municipal Teacher Rates - for retired teachers not participating in the municipal health-only program.

See your Benefit Decision Guide for a printed version of the rates.

Participating Municipality Rates

State Retiree/Survivor Monthly Basic Life and Non-Medicare Health Rates

Non-Medicare Retirees Retired on or before July 1, 1994 and SURVIVORS*, ** Non-Medicare Retirees Reired after July 1, 1994
Basic Life Insurance Only $5000 coverage $0.69 $1.03
Health Care Plan Premium Includes Basic Life Insurance Retiree/Survivor Pays Monthly Retiree Pays Monthly
Individual Coverage Family Coverage Individual Coverage Family Coverage
Fallon Community Health Plan Direct Care $40.14 $95.37 $60.21 $143.05
Fallon Community Health Plan Select Care $47.51 $113.05 $71.26 $169.57
Harvard Pilgrim Independence Plan $51.66 $124.02 $77.49 $186.02
Health New England $43.08 $105.77 $64.61 $158.65
Navigator by Tufts Health Plan $48.95 $117.17 $73.42 $175.75
NHP Care $42.55 $111.62 $63.82 $167.42
UniCare State Indemnity Plan Basic with CIC (Comprehensive) $106.49 $247.23 $142.48 $330.84
UniCare State Indemnity Plan Basic without CIC (Non-Comprehensive) $72.01 $167.24 $108.00 $250.85
UniCare State Indemnity Plan Community Choice $41.48 $98.58 $62.21 $147.87
UniCare State Indemnity Plan PLUS $52.48 $124.29 $78.72 $186.43

* Survivors not eligible for life insurance. For monthly health insurance premium cost, deduct $0.69 from "Retiree Pays Monthly" premium.
**Elderly Governmental Retirees (EGRs) - call the GIC for monthly rates.

Active State Employee - basic life and health rates
State Retiree and Survivor - Medicare basic life and health rates
State Retiree and Survivor - other benefit rates

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