Individual 

$492.27 

$5,907.24 

$319.97 

$3,839.71 

Retiree + Spouse 

$1,317.59 

$15,811.08

$1,145.30

$13,743.55

Retiree + Child or Children 

$1,176.93 

$14,123.16 

$1,004.64

$12,055.63

Family 

$1,522.45 

$18,269.40 

$1,350.16

$16,201.87

Individual 

$526.57 

$6,318.84 

$342.27 

$4,107.25 

Retiree + Spouse 

$1,409.68 

$16,916.16 

$1,225.38

$14,704.57

Retiree + Child or Children 

$1,259.18 

$15,110.16 

$1,074.88

$12,898.57

Family 

$1,628.88 

$19,546.56 

$1,444.58

$17,334.97

Individual 

$548.23 

$6,578.78 

$356.35 

$4,276.21 

Retiree + Spouse 

$1,479.01 

$17,748.12 

$1,287.13

$15,445.55

Retiree + Child or Children 

$1,315.51 

$15,786.16 

$1,123.63

$13,483.59

Family 

$1,724.21 

$20,690.54 

$1,532.33

$18,387.97

Individual Coverage 

$31.23 

$374.76 

Retiree Plus One Coverage 

$62.46 

$749.52 

Family Coverage 

$98.62 

$1,183.44