State Retiree and Survivor Other Benefit Rates

Monthly rates for optional life insurance and Retiree Dental.

State Retiree Dental Plan Rates

Monthly GIC plan rates as of July 1, 2017

GIC RETIREE DENTAL PLAN
Monthly GIC Plan Rates Effective July 1, 2017
$1,250 Maximum Annual Benefit per Member
Coverage Type Retiree Pays Monthly
Single $29.37
Family 70.75

State Retiree Optional Life Insurance Rates

Monthly GIC plan rates as of July 1, 2017 including accidental death and dismemberment

  Retiree Smoker Pays Monthly Retiree Non-Smoker Pays Monthly
Retired Employee Age Per $1,000 of coverage Per $1,000 of coverage
Under Age 70 $1.64 $1.29
70-74 2.87 2.24
75-79 7.82 5.97
80-84 14.82 11.30
85-89 23.46 17.91
90-94 33.64 27.23
95-99 73.49 59.46
Age 100 and over 140.90 114.02

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