Medical & Rx Monthly Payment Summary | Hire Date Before 7/1/2005 Dental Monthly Rate Retiree $22.12 Retiree + Spouse $63.40 Vision Monthly Rate Retiree $8.38 Retiree + Spouse $13.19 Retiree + Child(ren) $14.15 Retiree + Family $20.55 Rx Low Plan 1 Rx Mid Plan 2 Rx High Plan 3 Per Person Covered $123.99 $187.00 $299.17 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