Sheet Metal #10 Benefit Fund MONTHLY Retiree Rates        
Effective May 1, 2021    
                     
                     
    Pre-Medicare Medical   Medicare Medical   Medical      1 + 1   Delta Dental Medical & Dental  
                     
Pre-Medicare                  
  Single $   683.00   n/a       $  41.00 $   724.00  
  Couple  $1,376.00   n/a       $  82.00 $1,458.00  
  Family* $1,776.00   n/a       $128.00 $1,904.00  
                   
Medicare (Generally age 65)                  
  United Healthcare High Option                  
  Single     $155.00       $  41.00 $196.00  
  Couple      $310.00       $  82.00 $392.00  
  1+1 (1 Pre-medicare and 1 medicare)         $843.00   $  82.00 $925.00  
                     
  United Healthcare High No National Pension **                  
  Single     $186.00       $  41.00 $227.00  
  Couple      $372.00       $  82.00 $454.00  
  1+1 (1 Pre-medicare and 1 medicare)         $874.00   $  82.00 $956.00  
                     
  United Healthcare Core Option                  
  Single      $  43.00       $  41.00 $  84.00  
  Couple      $  86.00       $  82.00 $168.00  
  1+1 (1 Pre-medicare and 1 medicare)         $731.00   $  82.00 $813.00  
                     
                     
  United Healthcare Core No Pational Pension **                  
  Single      $  74.00       $ 41.00 $115.00  
  Couple      $148.00       $ 82.00 $230.00  
  1+1 (1 Pre-medicare and 1 medicare)         $762.00   $ 82.00 $844.00  
                     
                     
*Family rate includes $400 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