Plan summary for Blue Shield Retiree Plan (Preferred Plan, Group 975719). Includes details about cost, what services are covered and excluded, subscriber and insurer responsibilities, review and...
Medical Plan Costs Per Pay Period
Semi-Monthly
Total Cost
Semi-Monthly
University Contribution
Semi-Monthly
Your Contribution
Kaiser Permanente HMO
Employee Only
$286.74...
Medical Plan Costs Per Pay Period
Semi-Monthly
Total Cost
Semi-Monthly
University Contribution
Semi-Monthly
Your Contribution
Kaiser Permanente HMO
Employee Only
$286.74...
These are the monthly contribution rates for retiree medical and dental.
Jump to:
Grandfathered Retirees (Non-Medicare Eligible)
Grandfathered Retirees (Medicare Eligible)
Non-Grandfathered...
Brochure showing 2015 Blue Shield Exclusive Provider Organization (EPO) plan benefits, deductibles, co-pays, and coverage levels at non-network providers for a variety of commonly-used medical...