Common use of Plan Types Clause in Contracts

Plan Types. Basic Plan (Pre-Medicare) • Supplemental Medicare Plan (Retiree and dependent(s) are Medicare eligible) • Combination Plan (when at least one covered party – retiree or dependent are Medicare eligible but at least one of the other covered individuals is not Medicare eligible) Plan Type – Basic Plan (Pre-Medicare) Level of Coverage City Monthly Contribution Single Party Only $671.82 Two-Party $1,343.65 Family $1,746.74 Plan Type – Supplemental Medicare Plan Type (Retiree and dependent(s) are all Medicare eligible) Level of Coverage City Monthly Contribution Medicare Retiree Only $287.52 Medicare Retiree+1 Medicare Dependent $575.04 Medicare Retiree+2 or more Medicare Dependents $862.56

Plan Types.  Basic Plan (Pre-Medicare) •  Supplemental Medicare Plan (Retiree and dependent(s) are Medicare eligible) •  Combination Plan (when at least one covered party – retiree or dependent are Medicare eligible but at least one of the other covered individuals is not Medicare eligible) Plan Type – Basic Plan (Pre-Medicare) Level of Coverage City Monthly Contribution Single Party Only $671.82 Two-Party $1,343.65 Family $1,746.74 Plan Type – Supplemental Medicare Plan Type (Retiree and dependent(s) are all Medicare eligible) Level of Coverage City Monthly Contribution Medicare Retiree Only $287.52 Medicare Retiree+1 Medicare Dependent $575.04 Medicare Retiree+2 or more Medicare Dependents $862.56