CITY OF CHICAGO
MONTHLY RATES FOR ANNUITANT HEALTHCARE PLANS
EFFECTIVE DATE - JULY 1, 2010
| CATEGORY | PLAN |
2010 ANNUITANT CONTRIBUTION RATES |
| RETIRED ON / AFTER 07/01/2005 WITH 20 YEARS OF
SERVICE (City Share at 50%) |
||
| ANNUITANT | ||
MEDICARE |
$95 |
|
NON-MEDICARE |
$314 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$248 |
|
MEDICARE /
NON-MEDICARE |
$497 |
|
NON-MEDICARE /
MEDICARE |
$467 |
|
NON-MEDICARE
NON-MEDICARE |
$706 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$208 |
|
NON-MEDICARE /
CHILD(REN) |
$417 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$362 |
|
MED / NON /
CHILD(REN) |
$600 |
|
NON / MED /
CHILD(REN) |
$570 |
|
NON / NON /
CHILD(REN) |
$809 |
|
| CHILD(REN) | ||
CHILD(REN) |
$ 25 |
|
RETIRED ON / AFTER 07/01/2005 WITH 15-19 YEARS OF SERVICE |
||
| ANNUITANT | ||
MEDICARE |
$111 |
|
NON-MEDICARE |
$355 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$280 |
|
MEDICARE /
NON-MEDICARE |
$554 |
|
NON-MEDICARE /
MEDICARE |
$524 |
|
NON-MEDICARE
NON-MEDICARE |
$786 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$236 |
|
NON-MEDICARE /
CHILD(REN) |
$468 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$404 |
|
MED / NON /
CHILD(REN) |
$667 |
|
NON / MED /
CHILD(REN) |
$637 |
|
NON / NON /
CHILD(REN) |
$900 |
|
| CHILD(REN) | ||
CHILD(REN) |
$ 37 |
|
RETIRED ON / AFTER 07/01/2005 WITH 10-14 YEARS OF SERVICE |
||
| ANNUITANT | ||
MEDICARE |
$127 |
|
NON-MEDICARE |
$396 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$311 |
|
MEDICARE /
NON-MEDICARE |
$610 |
|
NON-MEDICARE /
MEDICARE |
$580 |
|
NON-MEDICARE
NON-MEDICARE |
$866 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$263 |
|
NON-MEDICARE /
CHILD(REN) |
$520 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$447 |
|
MED / NON /
CHILD(REN) |
$733 |
|
NON / MED /
CHILD(REN) |
$703 |
|
NON / NON /
CHILD(REN) |
$990 |
|
| CHILD(REN) | ||
CHILD(REN) |
$49 |
|
RETIRED ON / AFTER 07/01/2005 WITH LESS THAN 10 YEARS OF SERVICE
|
||
| ANNUITANT | ||
MEDICARE |
$255 |
|
NON-MEDICARE |
$723 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$562 |
|
MEDICARE /
NON-MEDICARE |
$1,060 |
|
NON-MEDICARE /
MEDICARE |
$1,030 |
|
NON-MEDICARE
NON-MEDICARE |
$1,507 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$482 |
|
NON-MEDICARE /
CHILD(REN) |
$929 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$788 |
|
MED / NON /
CHILD(REN) |
$1,266 |
|
NON / MED /
CHILD(REN) |
$1,236 |
|
NON / NON /
CHILD(REN) |
$1,713 |
|
| CHILD(REN) | ||
CHILD(REN) |
$145 |
|
| RETIRED ON / AFTER 08/23/1989 and BEFORE 07/01/2005 (City Share at 55%) | ||
| ANNUITANT | ||
MEDICARE |
$79 |
|
NON-MEDICARE |
$273 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$217 |
|
MEDICARE /
NON-MEDICARE |
$441 |
|
NON-MEDICARE /
MEDICARE |
$411 |
|
NON-MEDICARE
NON-MEDICARE |
$626 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$181 |
|
NON-MEDICARE /
CHILD(REN) |
$366 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$319 |
|
MED / NON /
CHILD(REN) |
$534 |
|
NON / MED /
CHILD(REN) |
$504 |
|
NON / NON /
CHILD(REN) |
$719 |
|
| CHILD(REN) | ||
CHILD(REN) |
$ 13 |
|
| RETIRED BEFORE 08/23/1989: | ||
| ANNUITANT | ||
MEDICARE |
$79 |
|
NON-MEDICARE |
$79 |
|
| ANNUITANT AND SPOUSE | ||
MEDICARE /
MEDICARE |
$217 |
|
MEDICARE /
NON-MEDICARE |
$217 |
|
NON-MEDICARE /
MEDICARE |
$217 |
|
NON-MEDICARE
NON-MEDICARE |
$217 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$181 |
|
NON-MEDICARE /
CHILD(REN) |
$181 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$319 |
|
MED / NON /
CHILD(REN) |
$319 |
|
NON / MED /
CHILD(REN) |
$319 |
|
NON / NON /
CHILD(REN) |
$319 |
|
| CHILD(REN) | ||
CHILDREN |
$ 13 |
|
| 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) |
$13 |
|
| 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 |
|