CITY OF CHICAGO
MONTHLY RATES FOR ANNUITANT HEALTHCARE PLANS
EFFECTIVE DATE - JULY 1, 2008
| CATEGORY | PLAN |
2008 ANNUITANT CONTRIBUTION RATES |
| RETIRED BEFORE 08/23/1989: | ||
| ANNUITANT | ||
MEDICARE |
$72 |
|
NON-MEDICARE |
$72 |
|
| ANNUITANT AND SPOUSE | ||
MEDICARE /
MEDICARE |
$203 |
|
MEDICARE /
NON-MEDICARE |
$203 |
|
NON-MEDICARE /
MEDICARE |
$203 |
|
NON-MEDICARE
NON-MEDICARE |
$203 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$166 |
|
NON-MEDICARE /
CHILD(REN) |
$166 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$297 |
|
MED / NON /
CHILD(REN) |
$297 |
|
NON / MED /
CHILD(REN) |
$297 |
|
NON / NON /
CHILD(REN) |
$297 |
|
| CHILD(REN) | ||
CHILDREN |
$ 4 |
|
| RETIRED ON / AFTER 08/23/1989 and BEFORE 07/01/2005 (City Share at 55%) | ||
| ANNUITANT | ||
MEDICARE |
$72 |
|
NON-MEDICARE |
$237 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$203 |
|
MEDICARE /
NON-MEDICARE |
$398 |
|
NON-MEDICARE /
MEDICARE |
$368 |
|
NON-MEDICARE
NON-MEDICARE |
$555 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$166 |
|
NON-MEDICARE /
CHILD(REN) |
$322 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$297 |
|
MED / NON /
CHILD(REN) |
$483 |
|
NON / MED /
CHILD(REN) |
$453 |
|
NON / NON /
CHILD(REN) |
$639 |
|
| CHILD(REN) | ||
CHILD(REN) |
$ 4 |
|
| RETIRED ON / AFTER 07/01/2005 WITH 20 YEARS OF
SERVICE (City Share at 50%) |
||
| ANNUITANT | ||
MEDICARE |
$88 |
|
NON-MEDICARE |
$274 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$233 |
|
MEDICARE /
NON-MEDICARE |
$450 |
|
NON-MEDICARE /
MEDICARE |
$420 |
|
NON-MEDICARE
NON-MEDICARE |
$627 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$191 |
|
NON-MEDICARE /
CHILD(REN) |
$368 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$337 |
|
MED / NON /
CHILD(REN) |
$544 |
|
NON / MED /
CHILD(REN) |
$514 |
|
NON / NON /
CHILD(REN) |
$721 |
|
| CHILD(REN) | ||
CHILD(REN) |
$ 15 |
|
RETIRED ON / AFTER 07/01/2005 WITH 15-19 YEARS OF SERVICE |
||
| ANNUITANT | ||
MEDICARE |
$103 |
|
NON-MEDICARE |
$311 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$263 |
|
MEDICARE /
NON-MEDICARE |
$501 |
|
NON-MEDICARE /
MEDICARE |
$471 |
|
NON-MEDICARE
NON-MEDICARE |
$699 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$217 |
|
NON-MEDICARE /
CHILD(REN) |
$414 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$377 |
|
MED / NON /
CHILD(REN) |
$605 |
|
NON / MED /
CHILD(REN) |
$575 |
|
NON / NON /
CHILD(REN) |
$803 |
|
| CHILD(REN) | ||
CHILD(REN) |
$ 26 |
|
RETIRED ON / AFTER 07/01/2005 WITH 10-14 YEARS OF SERVICE |
||
| ANNUITANT | ||
MEDICARE |
$118 |
|
NON-MEDICARE |
$348 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$293 |
|
MEDICARE /
NON-MEDICARE |
$553 |
|
NON-MEDICARE /
MEDICARE |
$523 |
|
NON-MEDICARE
NON-MEDICARE |
$771 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$242 |
|
NON-MEDICARE /
CHILD(REN) |
$461 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$417 |
|
MED / NON /
CHILD(REN) |
$666 |
|
NON / MED /
CHILD(REN) |
$636 |
|
NON / NON /
CHILD(REN) |
$884 |
|
| CHILD(REN) | ||
CHILD(REN) |
$38 |
|
RETIRED ON / AFTER 07/01/2005 WITH LESS THAN 10 YEARS OF SERVICE
|
||
| ANNUITANT | ||
MEDICARE |
$240 |
|
NON-MEDICARE |
$643 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$532 |
|
MEDICARE /
NON-MEDICARE |
$964 |
|
NON-MEDICARE /
MEDICARE |
$934 |
|
NON-MEDICARE
NON-MEDICARE |
$1,348 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$447 |
|
NON-MEDICARE /
CHILD(REN) |
$831 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$739 |
|
MED / NON /
CHILD(REN) |
$1,153 |
|
NON / MED /
CHILD(REN) |
$1,123 |
|
NON / NON /
CHILD(REN) |
$1,537 |
|
| CHILD(REN) | ||
CHILD(REN) |
$126 |
|
| BORN BEFORE 12/31/1913 & AFTER 12/31/1908 RETIREE CAPPED RATES PER AGREEMENT | ||
| ANNUITANT | ||
MEDICARE |
$51 |
|
NON-MEDICARE |
$80 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$147 |
|
MEDICARE /
NON-MEDICARE |
$178 |
|
NON-MEDICARE /
MEDICARE |
$134 |
|
NON-MEDICARE
NON-MEDICARE |
$190 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$64 |
|
NON-MEDICARE /
CHILD(REN) |
$169 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$142 |
|
MED / NON /
CHILD(REN) |
$253 |
|
NON / MED /
CHILD(REN) |
$247 |
|
NON / NON /
CHILD(REN) |
$253 |
|
| CHILD(REN) | ||
CHILD(REN) |
$4 |
|
| BORN BEFORE 01/01/1909, Retiree pays no more than the amount as of June 1, 2003 | ||
| ANNUITANT | ||
MEDICARE |
$18 OR $8* |
|
NON-MEDICARE |
$55 |
|
| ANNUITANT AND SPOUSE | ||
MEDICARE /
MEDICARE |
$ 42 OR $ 41* |
|
MEDICARE / NON-MEDICARE
|
$ 76 |
|
NON-MEDICARE /
MEDICARE |
$ 76 |
|
NON-MEDICARE /
NON-MEDICARE |
$ 110 |
|