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Bruce Rauner, Governor

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   Insurance Rates   

Contribution Rates for July 1, 2004 - June 30, 2005

Quality Care Health Plan (cigna)
 Premium is $625.96/mo.
Medicare premium is $350.48/mo.
HMO/POS Plans
   Premium is $377.14/mo.
       Medicare premium is $233.68/mo.
Full Years of Service
State Pays
Member Pays
Medicare Member Pays
Member Pays
Medicare Member Pays
0
0%
$625.96(100%)           $350.48 (100%)
$377.14 (100%)       $233.68 (100%)
1
5%
594.66 (95%)             332.95 (95%)
358.28 (95%)           221.99 (95%)
2
10%
563.36 (90%)             315.43 (90%)
339.42 (90%)           210.31 (90%)
3
15%
532.06 (85%)             297.90 (85%)
320.56 (85%)           198.62 (85%)
4
20%
500.76 (80%)             280.38 (80%)
301.71 (80%)           186.94 (80%)
5
25%
469.47 (75%)             262.86 (75%)
282.85 (75%)           175.26 (75%)
6
30%
438.17 (70%)             245.33 (70%)
263.99 (70%)           163.57 (70%)
7
35%
406.87 (65%)             227.81 (65%)
245.14 (65%)           151.89 (65%)
8
40%
375.57 (60%)             210.28 (60%)
226.28 (60%)           140.20 (60%)
9
45%
344.27 (55%)             192.76 (55%)
207.42 (55%)           128.52 (55%)
10
50%
312.98 (50%)             175.24 (50%)
188.57 (50%)           116.84 (50%)
11
55%
281.68 (45%)             157.71 (45%)
169.71 (45%)           105.15 (45%)
12
60%
250.38 (40%)             140.19 (40%)
150.85 (40%)             93.47 (40%)
13
65%
219.08 (35%)             122.66 (35%)
131.99 (35%)             81.78 (35%)
14
70%
187.78 (30%)             105.14 (30%)
113.14 (30%)             70.10 (30%)
15
75%
156.49 (25%)               87.62 (25%)
94.28 (25%)             58.42 (25%)
16
80%
125.19 (20%)               70.09 (20%)
75.42 (20%)             46.73 (20%)
17
85%
93.89 (15%)               52.57 (15%)
56.57 (15%)             35.05 (15%)
18
90%
62.59 (10%)               35.04 (10%)
37.71 (10%)             23.36 (10%)
19
95%
31.29 (5%)                 17.52 (5%)
18.85 (5%)               11.68 (5%)
20+
100%
0                                 0
0                                  0

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