CITY OF CHICAGO
MONTHLY RATES FOR ANNUITANT HEALTHCARE PLANS
EFFECTIVE DATE - JULY 1, 2011
| CATEGORY | PLAN |
2011 ANNUITANT CONTRIBUTION RATES |
| RETIRED ON / AFTER 07/01/2005 WITH 20 YEARS OF
SERVICE (City Share at 50%) |
||
| ANNUITANT | ||
MEDICARE |
$84 |
|
NON-MEDICARE |
$364 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$226 |
|
MEDICARE /
NON-MEDICARE |
$536 |
|
NON-MEDICARE /
MEDICARE |
$506 |
|
NON-MEDICARE
NON-MEDICARE |
$805 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$211 |
|
NON-MEDICARE /
CHILD(REN) |
$481 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$353 |
|
MED / NON /
CHILD(REN) |
$653 |
|
NON / MED /
CHILD(REN) |
$623 |
|
NON / NON /
CHILD(REN) |
$922 |
|
| CHILD(REN) | ||
CHILD(REN) |
$ 26 |
|
RETIRED ON / AFTER 07/01/2005 WITH 15-19 YEARS OF SERVICE |
||
| ANNUITANT | ||
MEDICARE |
$99 |
|
NON-MEDICARE |
$410 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$255 |
|
MEDICARE /
NON-MEDICARE |
$596 |
|
NON-MEDICARE /
MEDICARE |
$566 |
|
NON-MEDICARE
NON-MEDICARE |
$895 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$239 |
|
NON-MEDICARE /
CHILD(REN) |
$538 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$395 |
|
MED / NON /
CHILD(REN) |
$724 |
|
NON / MED /
CHILD(REN) |
$694 |
|
NON / NON /
CHILD(REN) |
$1,024 |
|
| CHILD(REN) | ||
CHILD(REN) |
$ 53 |
|
RETIRED ON / AFTER 07/01/2005 WITH 10-14 YEARS OF SERVICE |
||
| ANNUITANT | ||
MEDICARE |
$114 |
|
NON-MEDICARE |
$456 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$284 |
|
MEDICARE /
NON-MEDICARE |
$656 |
|
NON-MEDICARE /
MEDICARE |
$626 |
|
NON-MEDICARE
NON-MEDICARE |
$985 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$266 |
|
NON-MEDICARE /
CHILD(REN) |
$596 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$437 |
|
MED / NON /
CHILD(REN) |
$796 |
|
NON / MED /
CHILD(REN) |
$766 |
|
NON / NON /
CHILD(REN) |
$1,125 |
|
| CHILD(REN) | ||
CHILD(REN) |
$66 |
|
RETIRED ON / AFTER 07/01/2005 WITH LESS THAN 10 YEARS OF SERVICE
|
||
| ANNUITANT | ||
MEDICARE |
$233 |
|
NON-MEDICARE |
$823 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$517 |
|
MEDICARE /
NON-MEDICARE |
$1,137 |
|
NON-MEDICARE /
MEDICARE |
$1,107 |
|
NON-MEDICARE
NON-MEDICARE |
$1,706 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$487 |
|
NON-MEDICARE /
CHILD(REN) |
$1,056 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$771 |
|
MED / NON /
CHILD(REN) |
$1,307 |
|
NON / MED /
CHILD(REN) |
$1,340 |
|
NON / NON /
CHILD(REN) |
$1,939 |
|
| CHILD(REN) | ||
CHILD(REN) |
$173 |
|
| RETIRED ON / AFTER 08/23/1989 and BEFORE 07/01/2005 (City Share at 55%) | ||
| ANNUITANT | ||
MEDICARE |
$69 |
|
NON-MEDICARE |
$318 |
|
ANNUITANT AND SPOUSE |
||
MEDICARE /
MEDICARE |
$197 |
|
MEDICARE /
NON-MEDICARE |
$476 |
|
NON-MEDICARE /
MEDICARE |
$446 |
|
NON-MEDICARE
NON-MEDICARE |
$715 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$184 |
|
NON-MEDICARE /
CHILD(REN) |
$423 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$311 |
|
MED / NON /
CHILD(REN) |
$581 |
|
NON / MED /
CHILD(REN) |
$551 |
|
NON / NON /
CHILD(REN) |
$820 |
|
| CHILD(REN) | ||
CHILD(REN) |
$ 26 |
|
| RETIRED BEFORE 08/23/1989: | ||
| ANNUITANT | ||
MEDICARE |
$69 |
|
NON-MEDICARE |
$69 |
|
| ANNUITANT AND SPOUSE | ||
MEDICARE /
MEDICARE |
$197 |
|
MEDICARE /
NON-MEDICARE |
$197 |
|
NON-MEDICARE /
MEDICARE |
$197 |
|
NON-MEDICARE
NON-MEDICARE |
$197 |
|
| ANNUITANT AND CHILD(REN) | ||
MEDICARE /
CHILD(REN) |
$184 |
|
NON-MEDICARE /
CHILD(REN) |
$184 |
|
| ANNUITANT, SPOUSE AND CHILD(REN) | ||
MED / MED /
CHILD(REN) |
$311 |
|
MED / NON /
CHILD(REN) |
$311 |
|
NON / MED /
CHILD(REN) |
$311 |
|
NON / NON /
CHILD(REN) |
$311 |
|
| CHILD(REN) | ||
CHILDREN |
$ 26 |
|
| 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) |
$26 |
|
| 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 |
|