2014 Retiree Insurance Rates



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2014 Retiree Insurance Rates Flight Attendant Traditional Plans Pre Medicare Retiree Traditional PPO Medical Plan (Retirees after June 30, 2003) 2014 Retiree Contributions 1 Adult 2 Adults 1 Adult + Child(ren) 2 Adults + Child(ren) Retired with Fewer than 20 Years of Service (80%) Retired with 20 Through 24 Years of Service (60%) Retired with Greater than 24 Years of Service (40%) $502.45 $1055.14 $954.65 $1507.34 $376.84 $791.36 $715.99 $1130.51 $251.22 $527.57 $477.32 $753.67 Post Medicare Retiree Medical Plans (Retirees after June 30, 2003) Retiree Post Medicare eligible plans are predicated on the retiree taking Medicare part A and part B. 2014 Cost Full Rate Company Subsidy Monthly Contribution per person Post Medicare Medical PPO United Medicare Select Plan Prescription Drug Only Plan $320.82 $90.00 $230.82 $296.60 $90.00 $206.60 $185.35 $90.00 $95.35 Retiree Vision Plus plan 2014 Cost Retiree only Retiree+ Spouse Retiree + Children Family $15.97 $27.27 $27.82 $35.27 17

2014 Retiree Insurance Rates AFA Pre Medicare Contributions for Retirement After June 30, 2003 Retiring with 25 or more years of service Kaiser Foundation of N Kaiser Foundation of S Health Plan Plus Denver Oregon Washington DC Atlanta Ohio $151.88 $ 318.94 $ 288.58 $ 455.64 $ 54.67 $ 114.80 $ 103.88 $ 164.01 $ 38.23 $ 80.35 $ 72.72 $ 114.80 $107.57 $ 225.89 $ 204.39 $ 322.71 $ 52.38 $ 110.01 $ 99.54 $ 157.16 $108.93 $ 228.75 $ 206.97 $ 326.79 $ 98.55 $ 206.96 $ 187.31 $ 295.67 $109.48 $ 229.87 $ 207.98 $ 328.42 $ 80.06 $ 168.13 $ 152.12 $ 240.19 $191.37 $ 401.91 $ 363.61 $ 574.12 Detroit $ 56.53 $ 118.72 $ 107.42 $ 169.61 Minnesota $195.56 $ 410.69 $ 371.57 $ 586.71 N. $180.07 $ 378.16 $ 342.14 $ 540.23 NY $ 5.48 $ 11.52 $ 10.42 $ 16.46 NJ $ 5.48 $ 11.52 $ 10.42 $ 16.46 MA $ 5.48 $ 11.52 $ 10.42 $ 16.46 PA $ 5.48 $ 11.52 $ 10.42 $ 16.46 Florida $ 15.07 $ 31.66 $ 28.64 $ 45.23 Buffalo $ 5.48 $ 11.52 $ 10.42 $ 16.46 Arizona $ 5.48 $ 11.52 $ 10.42 $ 16.46 Nevada $ 5.48 $ 11.52 $ 10.42 $ 16.46 $ 15.07 $ 31.66 $ 28.64 $ 45.23 Illinois $ 67.29 $ 141.32 $ 127.86 $ 201.89 Colorado $182.85 $ 384.00 $ 347.43 $ 548.57 Medical PPO $251.22 $ 527.57 $ 477.32 $ 753.67 Northern Southern $198.96 $ 417.83 $ 378.03 $ 596.91 $100.94 $ 211.99 $ 191.80 $ 302.84 18

AFA Pre Medicare Contributions for Retirement After June 30, 2003 Retiring with 20 to 24 years of service Kaiser Foundation of N Kaiser Foundation of S Health Plan Plus Denver Oregon Washington DC Atlanta Ohio $277.50 $ 582.73 $ 527.25 $ 832.48 $180.29 $ 378.59 $ 342.55 $ 540.85 $163.85 $ 344.14 $ 311.39 $ 491.64 $233.19 $ 489.68 $ 443.06 $ 699.55 $178.00 $ 373.80 $ 338.21 $ 534.00 $234.55 $ 492.54 $ 445.64 $ 703.63 $224.17 $ 470.75 $ 425.98 $ 672.51 $235.10 $ 493.66 $ 446.65 $ 705.26 $205.68 $ 431.92 $ 390.79 $ 617.03 $316.99 $ 665.70 $ 602.28 $ 950.96 Detroit $182.15 $ 382.51 $ 346.09 $ 546.45 $321.18 $ 674.48 $ 610.24 $ 963.55 Minnesota N. $305.69 $ 641.95 $ 580.81 $ 917.07 NY $131.10 $ 275.31 $ 249.09 $ 393.30 NJ $131.10 $ 275.31 $ 249.09 $ 393.30 MA $131.10 $ 275.31 $ 249.09 $ 393.30 PA $131.10 $ 275.31 $ 249.09 $ 393.30 Colorado $308.47 $ 647.79 $ 586.10 $ 925.41 Florida $140.69 $ 295.45 $ 267.31 $ 422.07 Buffalo $131.10 $ 275.31 $ 249.09 $ 393.30 Arizona $131.10 $ 275.31 $ 249.09 $ 393.30 Nevada $131.10 $ 275.31 $ 249.09 $ 393.30 $140.69 $ 295.45 $ 267.31 $ 422.07 Illinois $192.91 $ 405.11 $ 366.53 $ 578.73 Medical PPO $376.84 $ 791.36 $ 715.99 $ 1,130.51 Northern Southern $324.58 $ 681.62 $ 616.70 $ 973.75 $226.56 $ 475.78 $ 430.47 $ 679.68 19

AFA Pre Medicare Contributions for Retirement After June 30, 2003 Retiring with less than 20 years of service Kaiser Foundation of N Kaiser Foundation of S Health Plan Plus Denver Oregon Washington DC Atlanta Ohio $403.11 $ 846.51 $ 765.91 $ 1,209.31 $305.90 $ 642.37 $ 581.21 $ 917.68 $289.46 $ 607.92 $ 550.05 $ 868.47 $358.80 $ 753.46 $ 681.72 $ 1,076.38 $303.61 $ 637.58 $ 576.87 $ 910.83 $360.16 $ 756.32 $ 684.30 $ 1,080.46 $349.78 $ 734.53 $ 664.64 $ 1,049.34 $360.71 $ 757.44 $ 685.31 $ 1,082.09 $331.29 $ 695.70 $ 629.45 $ 993.86 $442.60 $ 929.48 $ 840.94 $ 1,327.79 Detroit $307.76 $ 646.29 $ 584.75 $ 923.28 $446.79 $ 938.26 $ 848.90 $ 1,340.38 Minnesota N. $431.30 $ 905.73 $ 819.47 $ 1,293.90 NY $256.71 $ 539.09 $ 487.75 $ 770.13 NJ $256.71 $ 539.09 $ 487.75 $ 770.13 MA $256.71 $ 539.09 $ 487.75 $ 770.13 PA $256.71 $ 539.09 $ 487.75 $ 770.13 Illinois $318.52 $ 668.89 $ 605.19 $ 955.56 Florida $266.30 $ 559.23 $ 505.97 $ 798.90 Colorado $434.08 $ 911.57 $ 824.76 $ 1,302.24 Buffalo $256.71 $ 539.09 $ 487.75 $ 770.13 Arizona $256.71 $ 539.09 $ 487.75 $ 770.13 Nevada $256.71 $ 539.09 $ 487.75 $ 770.13 Medical PPO Northern Southern $266.30 $ 559.23 $ 505.97 $ 798.90 $502.45 $1,055.14 $ 954.65 $ 1,507.34 $450.19 $ 945.40 $ 855.36 $ 1,350.58 $352.17 $ 739.56 $ 669.13 $ 1,056.51 20

2014 Post-Medicare Plan rates Rates are per person Plan Location Full Rate UA Contribution Retiree Monthly Rate Group Health Western Washington $251.65 $90.00 $161.65 Health Net $339.79 $90.00 $249.79 Humana IL Chicago IL $240.69 $90.00 $150.69 Kaiser CO Colorado $259.09 $90.00 $169.09 Kaiser HI $339.59 $90.00 $249.59 Kaiser N. CA Northern CA $298.51 $90.00 $208.51 Kaiser NW Oregon/Washington $288.06 $90.00 $198.06 Kaiser S. CA Southern CA $158.29 $90.00 $68.29 Kaiser Mid- Mid-Atlantic States $217.55 $90.00 $127.55 Atlantic Kaiser GA Georgia $313.82 $90.00 $223.82 United Health Arizona $287.85 $90.00 $197.85 Care AZ United Health $189.86 $90.00 $99.86 Care CA United Health Colorado $339.31 $90.00 $249.31 Care CO United Health Care NV Nevada $110.49 $90.00 $20.49 21