Medical & Rx Monthly Payment Summary | Hire Date Between 7/1/2005 – 1/1/2013 Dental Monthly Rate Retiree $32.86 Retiree + Spouse $81.94 Vision Rx Low Plan 1 Rx Mid Plan 2 Rx High Plan 3 Per Person Covered $315.30 $349.80 $376.60 How to pay? Mail a check for your first month’s premium to: DePauw University/AmWins Group Benefits, Inc. 50 Whitecap Drive, North Kingstown, RI 02852 Monthly Rate Retiree $8.38 Retiree + Spouse $13.19 Retiree + Child(ren) $14.15 Retiree + Family $20.55