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Retiree/COBRA Benefits

Annual Open Enrollment for Retirees and COBRA Participants

2013-2014 Monthly Rates

Retiree/COBRA Benefits are for retirees and former Independent School District 15 employees who were contracted at or above 1020 hours per year and enrolled in benefits at the end of their employment with ISD 15.

All change forms are due to Wendy Carlberg, Benefits, Human Resources by 4:00 p.m. on Friday, June 14, 2013. If no changes are made, no further action is necessary. If change forms are not received by the deadline, benefits will remain the same.

The following is an overview for ISD 15 retirees and COBRA participants. Click on the links for Medical, Dental, Life Insurance, VEBA and the NeoPath Health Clinic for more information.

Health Partners Medical Plans

Single, $2,000 Deductible Plan: $639.42
Family, $2,000/$4,000 Deductible Plan: $1,727.42

Single, $5,000 Deductible Plan: $560.14
Family, $5,000/$10,000 Deductible Plan: $1,565.60

Single, Co-Pay Plan: $950.74
Family, Co-Pay Plan: $2,522.90

The NeoPath Health Clinic is available for former employees and retirees who are under age 65 and enrolled in a medical plan through Independent School District 15.

Health Partners Freedom 65+ Medical Plan
(Medicare Supplement)
Single, Freedom 65+ Plan: $264.50
Single and Spouse, Freedome 65+ Plan: $529.00

Delta Dental Plans

Single: $36.00
Single +1: $68.00
Family: $91.00

Life Insurance

Listed below are 2012-13 rates. 2013-14 rates to be determined. Retirees and COBRA participants will be notified of a rate change by mail.

Retiree Life Policy  $.30/$1,000
Basic Life Policy  $.16/$1,000
Supplemental Life  $.19/$1,000
Dependent Life $5,000 Policy: $1.25
Dependent Life $10,000 Policy: $2.00
Dependent Life $15,000 Policy: $5.40

Billing & Administrative Fees

Credit card payments will be accepted with an additional 3% service fee. ISD 15 is not able to receive electronic payments.

Administrative fees are as follows:

  • Annual payment: no charge
  • Quarterly payments: 1% fee
  • Monthly payments: 2% fee

Billing administrative fees and premium billing cycles will remain the same as 2012-2013. If you wish to make changes to your premium billing cycle, please email Lori Davis or call 763-753-7051.

Questions

For more information, contact Wendy Carlberg, Benefits, Human Resources, ISD 15.



ISD 15 Central Services Center

4115 Ambassador Blvd. NW

St. Francis, MN 55070

763-753-7040

763-753-4693 fax


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