|
<br />
<br />
<br />
<br />September 5, 2024 7
<br />BENEFIT SUMMARY
<br />
<br />35 40 45 50 55 60 64
<br />Cost by Age 1,154 1,242 1,429 1,748 2,175 2,688 3,221
<br />Retiree Version 1 Premium 2,169 2,169 2,169 2,169 2,169 2,169 2,169
<br />Retiree Version 2 Premium 2,109 2,109 2,109 2,109 2,109 2,109 2,109
<br /> $-
<br /> $500
<br /> $1,000
<br /> $1,500
<br /> $2,000
<br /> $2,500
<br /> $3,000
<br /> $3,500
<br />$C
<br />o
<br />s
<br />t
<br />/
<br />P
<br />r
<br />e
<br />m
<br />i
<br />u
<br />m
<br />Age
<br />2024/25 Health Net HMO Plan - Single Coverage
<br />
<br />
<br />
<br />
<br />September 5, 2024 8
<br />BENEFIT SUMMARY
<br />
<br />35 40 45 50 55 60 64
<br />Cost by Age 1,389 1,558 1,819 2,172 2,539 2,990 3,517
<br />Retiree Version 1 Premium 2,195 2,195 2,195 2,195 2,195 2,195 2,195
<br />Retiree Version 2 Premium 2,176 2,176 2,176 2,176 2,176 2,176 2,176
<br /> $-
<br /> $500
<br /> $1,000
<br /> $1,500
<br /> $2,000
<br /> $2,500
<br /> $3,000
<br /> $3,500
<br /> $4,000
<br />$C
<br />o
<br />s
<br />t
<br />/
<br />P
<br />r
<br />e
<br />m
<br />i
<br />u
<br />m
<br />Age
<br />2024/25 Health Net PPO Plan - Single Coverage
|