Retiree Medical Costs | Hired 2005 - 2012 CDHP #1 CDHP #2 CDHP #3 Retiree Only EE Share $852.42 $858.92 $891.55 ER Share - - - Total $852.42 $858.92 $891.55 Retiree + Spouse EE Share $1,790.11 $1,803.77 $1,872.28 ER Share - - - Total $1,790.11 $1,803.77 $1,872.28 Retiree + Child/ren EE Share $1,578.04 $1,590.07 $1,650.46 ER Share - - - Total $1,578.04 $1,590.07 $1,650.46 Retiree + Spouse & 1 Child EE Share $2,642.55 $2,662.71 $2,763.82 ER Share - - - Total $2,642.55 $2,662.71 $2,763.82 Retiree + Spouse & >1 Child EE Share $2,642.55 $2,662.71 $2,763.82 ER Share - - - 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 4 DePauw University Pre-65 Retiree Benefits Package 2026 Page 3 Page 5