Retiree Medical Costs | Hired Before 07/01/2005 CDHP #1 CDHP #2 CDHP #3 Retiree Only EE Share $93.74 $104.66 $170.78 ER Share $758.68 $754.26 $720.77 Total $852.42 $858.92 $891.55 Retiree + Spouse EE Share $215.02 $238.02 $420.56 ER Share $1,575.09 $1,565.75 $1,451.72 Total $1,790.11 $1,803.77 $1,872.28 Retiree + Child/ren EE Share $200.88 $221.14 $367.56 ER Share $1,377.16 $1,368.93 $1,282.90 Total $1,578.04 $1,590.07 $1,650.46 Retiree + Spouse & 1 Child EE Share $332.38 $366.28 $626.14 ER Share $2,310.17 $2,296.43 $2,137.68 Total $2,642.55 $2,662.71 $2,763.82 Retiree + Spouse & >1 Child EE Share $459.00 $492.92 $752.78 ER Share $2,183.55 $2,169.79 $2,011.04 Total $2,642.55 $2,662.71 $2,763.82 NOTE: EE Share = Premiums paid by Retiree, ER Share = Premiums paid by DePauw SEE PLAN COVERAGE MONTHLY RATES

DePauw University Pre-65 Retiree Benefits Package 2026 - Page 3 DePauw University Pre-65 Retiree Benefits Package 2026 Page 2 Page 4