Eligibility and Cost

Eligibility Chart - Effective dates, PCP requirements and other eligibility information by plan.

Dependent Eligibility - Who is and is not an eligible dependent

Cost - Active Employee

Cost - Retiree under age 65 (for more information, select Retirees from right menu)

Cost - Retiree age 65 and over (for more information, select Retirees from right menu)

Spouse Medical Plan Surcharge

If you cover your spouse in the PPO Plan (includes PMD/MPD) or HDP, this important information applies to you.