Benefit costs per month | Medical | Dental | | = Tobacco-Free Discount | Monthly Cost | | Monthly Cost | | Retiree Only | $188.17 | | Retiree Only | $263.17 | Employee | $13.31 | | Retiree + Children | $371.77 | | Retiree + Children | $446.77 | Employee + Child(ren) | $25.26 | | Family | $492.49 | | Family | $34.47 | | Family | $567.49 | See Medical Coverage See Dental Coverage
2027 Pre-65 Retiree Benefit Guide Page 4 Page 6