2010-2011 Rates sent to OBAS 61110 (these are the real rates) making PDFs for T01 Retiree

CIVIL SERVICE COMMISSIONEMPLOYEE BENEFIT DIVISIONFY 2011-2012 GROUP INSURANCE PREMIUM RATESSTATE POLICE RETIREMENT - MONTHLY RATESEFFECTIVE OCTOBER 1, 2011Rates apply to retirees under the State's Defined Benefit Retirement Plan and to thosewho converted from the Defined Benefit Plan to the Defined Contribution plan.Retirees' State Health Plan - Blue Cross Blue Shield PPORetiree State MONTHLY Retiree121-BCBS Share Share TOTAL COBRAG Retiree Only $ 36.72 $ 697.66 $ 734.38 $ 749.07L Retiree & Spouse 73.44 $ 1,395.31 $ 1,468.75 $ 1,498.13R Retiree & Child(ren) $ 46.25 $ 878.80 $ 925.05 $ 943.55W Retiree, Spouse & Child(ren)85.01 $ 1,615.24 $ 1,700.25 $ 1,734.26H Retiree 65+ Only $ - $ 385.05 $ 385.05 $ 392.75M Retiree 65+ & Spouse 65+ - 770.12 770.12 785.52S Retiree 65+ & Child(ren) $ - $ 575.74 $ 575.74 $ 587.25X Retiree 65+ & Spouse 65+ & Child(ren) - $ 1,001.65 $ 1,001.65 $ 1,021.68N Retiree under 65 & Spouse 65+ $ - $ 1,119.43 $ 1,119.43 $ 1,141.82P Retiree 65+ & Spouse under 65 - $ $ $ Y Retiree under 65, Spouse 65+ & Child(ren) $ - $ 1,350.95 $ 1,350.95 $ 1,377.97Z Retiree 65+, Spouse under 65 & Child(ren) - $ $ $ Sponsored Dependent under 65 $ 809.13 $ - $ ...