2015 and 2016 Monthly Medical Coverage Premiums for Retirees and Former Employees

Purdue Health Plan Purdue Health Plan
No HSA 1
Purdue Health Plan
No HSA 2
Retiree Only $587 $519 $468
Retiree & Children $1,057 $934 $842
Retiree &
Spouse/SSDP*
$1,321 $1,167 $1,052
Retiree & Family $1,791 $1,582 $1,426

• 3% discount for annual payment

For Long Term Disability Participant and Covered Family Members**

Purdue Health Plan Purdue Health Plan
No HSA 1
Purdue Health Plan
No HSA 2
Participant Only $62.25 $14.83 $ 0
Participant & Children $112.08 $26.75 $3.08
Participant &
Spouse/SSDP*
$235.67 $74.17 $17.00
Participant & Family $319.50 $100.50 $20.08


For COBRA Participant and Covered Family Members**

Purdue Health Plan Purdue Health Plan
No HSA 1
Purdue Health Plan
No HSA 2
Purdue Health Plan J-1 Visa
(Coverage offered to J-1 Visa holders only.)
Participant Only $599 $529 $477 $576.00
Participant & Children $1,078 $953 $858 $1,036
Participant &
Spouse/SSDP*
$1,348 $1,191 $1,073 $1,296
Participant & Family $1,827 $1,614 $1,455 $1,756


Applies to all charts above:

* SSDP - Same-sex domestic partner
** Dependent Eligibility rules apply
NOTE: Tobacco-User Additional Premium of $500/person/year for retiree/participant
and/or spouse/SSDP not included above.

 

Purdue University Retirees Association

Purdue University, 610 Purdue Mall, West Lafayette, IN 47907, (765) 494-4600

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