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STATE OF CONNECTICUT
TEACHERS’ RETIREMENT BOARD
765 ASYLUM AVENUE HARTFORD, CT 06105-2822
Toll free 1-800-504-1102 (860) 241-8400 Fax (860) 241-9295
“An Affirmative Action/Equal Opportunity Employer”
www.ct.gov/trb
September 7, 2012
MEDICARE SUPPLEMENTAL HEALTH PLAN
PREMIUM CHANGE ANNOUNCEMENT FOR 2013
The Board adopted premiums for the Teachers’ Retirement Board sponsored self-insured Medicare supplemental health plan for coverage effective January 1, 2013 as follows:
Cost = Per Member Per Month
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Plan Description |
2012 Rate |
2013 Rate |
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Medicare Supplemental with Prescriptions |
$124 |
$117 |
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Medicare Supplemental with Prescriptions and Dental |
$173 |
$160 |
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Medicare Supplemental with Prescriptions, Dental, Vision and Hearing |
$180 |
$165 |
Content Last Modified on 9/13/2012 11:22:35 AM
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