Sheet Metal #10 Benefit Fund MONTHLY Retiree Rates        
Effective May 1, 2018         
                     
                     
    Pre-Medicare Medical   Medicare Medical   Medical      1 + 1   Delta Dental Medical & Dental  
                     
Pre-Medicare                  
  Single $   643.00   n/a       $  38.00 $   681.00  
  Couple  $1,286.00   n/a       $  76.00 $1,362.00  
  Family* $1,651.00   n/a       $118.00 $1,769.00  
                   
Medicare                  
  SMW+ Pensioner                  
  Single     $189.00       $ 38.00 $227.00  
  Couple      $378.00       $ 76.00 $454.00  
  1+1 (1 Pre-medicare and 1 medicare)         $832.00   $ 76.00 $908.00  
                     
  Humana MAPDP Pensioner                  
  Single     $180.00       $ 38.00 $218.00  
  Couple      $360.00       $ 76.00 $436.00  
  1+1 (1 Pre-medicare and 1 medicare)         $823.00   $ 76.00 $899.00  
                     
  UCare Pensioner High Rx Option                  
  Single      $152.00       $ 38.00 $190.00  
  Couple      $304.00       $ 76.00 $380.00  
  1+1 (1 Pre-medicare and 1 medicare)         $795.00   $ 76.00 $871.00  
                     
                     
  UCare Pensioner Core Rx Option                  
  Single      $ 39.00       $ 38.00 $  77.00  
  Couple      $ 78.00       $ 76.00 $154.00  
  1+1 (1 Pre-medicare and 1 medicare)         $682.00   $ 76.00 $758.00  
                     
                     
*Family rate includes $365 for dependent children         
**No National Pension is a participant who is not eligible for the $31.00 Subsidy provided by the National Pension
***1+1 is a couple where one participant is eligible for Medicare and one is pre-Medicare