Health & Welfare Rates
Sheet Metal #10 Benefit Fund Monthly Retiree Rates
Effective May 1, 2021
Pre-Medicare
|
Pre-Medicare Medical
|
Delta Dental
|
Medical & Dental
|
*Family rate includes $400 for dependent children
Medicare (Generally age 65)
United Healthcare High Option
|
Pre-Medicare Medical
|
Medicare Medical
|
Medical 1+1
|
Delta Dental
|
Medical & Dental
|
|
Single
|
$155.00
|
$41.00
|
$196.00
|
|
Couple
|
$310.00
|
$82.00
|
$392.00
|
|
1+1* (1 Pre-Medicare & 1 Medicare)
|
$843.00
|
$82.00
|
$925.00
|
*1+1= A couple where one participant is eligible for Medicare and one is Pre-Medicare
United Healthcare High No-NPF*
|
Pre-Medicare Medical
|
Medicare Medical
|
Medical 1+1
|
Delta Dental
|
Medical & Dental
|
|
Single
|
$186.00
|
$41.00
|
$227.00
|
|
Couple
|
$372.00
|
$82.00
|
$454.00
|
|
1+1** (1 Pre-Medicare & 1 Medicare)
|
$874.00
|
$82.00
|
$956.00
|
*No-NPF= a participant who is not eligible for the $31.00 subsidy provided by the National Pension Fund
**1+1= A couple where one participant is eligible for Medicare and one is Pre-Medicare
United Healthcare Core Option
|
Pre-Medicare Medical
|
Medicare Medical
|
Medical 1+1
|
Delta Dental
|
Medical & Dental
|
|
Single
|
$43.00
|
$41.00
|
$84.00
|
|
Couple
|
$86.00
|
$82.00
|
$168.00
|
|
1+1* (1 Pre-Medicare & 1 Medicare)
|
$731.00
|
$82.00
|
$813.00
|
*1+1= A couple where one participant is eligible for Medicare and one is Pre-Medicare
United Healthcare Core No-NPF*
|
Pre-Medicare Medical
|
Medicare Medical
|
Medical 1+1
|
Delta Dental
|
Medical & Dental
|
|
Single
|
$74.00
|
$41.00
|
$115.00
|
|
Couple
|
$148.00
|
$82.00
|
$230.00
|
|
1+1** (1 Pre-Medicare & 1 Medicare)
|
$762.00
|
$82.00
|
$844.00
|
*No-NPF= a participant who is not eligible for the $31.00 subsidy provided by the National Pension Fund
**1+1= A couple where one participant is eligible for Medicare and one is Pre-Medicare