Retiree Medical Costs MEDICAL Coverage through Anthem | Monthly Premiums SEE THIS PLAN (TF) = Tobacco-Free Retiree Only (TF) $146.17 Retiree Only $221.17 Retiree + Child(ren) (TF) $277.77 Retiree + Child(ren) $352.77 Family (TF) $379.49 Family $454.49 Tobacco-Free Premium Discount

Pre-65 Retiree Benefit Guide - Page 3 Pre-65 Retiree Benefit Guide Page 2 Page 4