Merit Staff Participating in the Special Early Retirement Program III

Plan Single Family Single-
Medicare Eligible
Family-
Medicare Eligible
Monthly Health and Dental Insurance Rates Effective January 1, 2017
BC/BS Plan 3 Plus $20.00 $335.00 $84.00 $275.00
BC/BS Iowa Select $20.00 $328.00 $87.00 $275.00
BC/BS Access $20.00 $20.00 $66.00 $20.00
Dental $0.00 $38.52 $0.00 $38.52
Plan Single Family Single-
Medicare Eligible
Family-
Medicare Eligible
Monthly Health and Dental Insurance Rates Effective January 1, 2016
BC/BS Plan 3 Plus $20.00 $304.04 $106.82 $305.05
BC/BS Iowa Select $20.00 $297.92 $110.14 $306.55
BC/BS Access $20.00 $20.00 $81.35 $22.97
Dental $0.00 $39.14 $0.00 $39.14

Medicare eligible rates apply when either the retiree and/or a covered dependent becomes Medicare eligible.