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Document Salem_doc_072fe87e95

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GIC Health Plan Rates RATES AS OF JULY 1, 2024 FOR CITY OF SALEM ENROLLEES Retirement date affects rate for Retired Municipal Teachers – be sure to check boxes at right to determine your rate. Retired Municipal Teachers (RMTs) WITH Medicare RMT - Retired on or before July 1, 1990 RMT - Retired after July 1, 1990 through June 30, 2012 RMT - Retired after June 30, 2012 10% 15% 30% HMO 35% Indemnity HEALTH PLAN PLAN TYPE Individual Coverage Individual Coverage Individual Coverage Harvard Pilgrim Medicare Enhanced Medicare (Indemnity) 43.61 65.42 152.65 Health NE Medicare Supplement Medicare (Indemnity) 43.88 65.82 153.58 Tufts Health Plan Medicare Preferred* Medicare (HMO) 36.38 54.58 109.15 Wellpoint Medicare Extension Medicare (Indemnity) 44.47 66.70 155.64 *Benefits and rates of Tufts Health Plan Medicare Preferred are subject to federal approval and may change on January 1, 2025.