Page 15 - Inglewood USD Benefits Guide 2019 - EARLY RETIREES_FINAL

EARLY RETIREE CONTRIBUTIONS

CERTIFICATED & MANAGEMENT

Anthem Blue Cross
Employees working 7-8 hours per day
Classic PPO 500/30/20
Retiree Pays IUSD Pays
Retiree Only $1,278.45 $537.01
Retiree + 1 $2,684.72 $1,124.44
Retiree + Family $3,835.32 $1,605.05

Anthem Blue Cross Employees working 7-8 hours per day
Solutions PPO 2000/20/20

Retiree Pays IUSD Pays
Retiree Only $921.82 $537.01
Retiree + 1 $1,935.80 $1,124.44
Retiree + Family $2,765.44 $1,605.05
Dental Plan – 2019 Monthly Premiums
¹

Delta Dental PPO Employees working 7-8 hours per day
Retiree Pays IUSD Pays

Retiree Only $58.40 $0.00
Retiree + 1 $105.78 $0.00
Retiree + Family $152.06 $0.00
Vision Plan – 2019 Monthly Premiums
¹

VSP Vision PPO Employees working 7-8 hours per day
Retiree Pays IUSD Pays
Retiree Only $16.40 $0.00
Retiree + 1 $30.47 $0.00
Retiree + Family $46.92 $0.00
¹Early retirees shall make payments to Inglewood USD for any premium amounts exceeding the District Contribution by the first of each month

*Unit members who retired prior to January 1, 2016, shall be eligible for a District annual contribution toward District medical insurance equal to active employees
in accordance with Section 13.1.1 and subject to the conditions listed in Section 13.2.
**Eligible full time unit members who retire after January 1, 2016, shall be eligible for a District contribution for employee only medical coverage equal to active
employees in accordance with section 13.2 and subject to the conditions listed in Section 13.2.
***No Dependent Coverage for Retirements on or after 1/1/16

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