HomeMy WebLinkAboutContractRates ConfirmationCity of Renton Effective Date 1/1/2023 to 1/1/2024The below rates have been quoted for the following plan(s). Please sign below to confirm rates.Applicant further acknowledges and agrees that payment of any premium due for the coverage shall constitute applicant's acceptance of the coverage agreement issued.Core HMOGroup Name City of RentonGroup Number 1162600RQ-172943Rates by TierEE$ 633.50EE/S$ 1,598.80EE/1C$ 1,096.10EE/2+C$ 1,500.20EE/S/1C$ 2,061.40EE/S/2+C$ 2,465.46All plans offered and underwritten by Kaiser Foundation Health Plan of WashingtonThis health coverage meets or exceeds the minimum essential coverage requirements and the minimum value standard for the benefits it provides.This outpatient prescription drug coverage meets the Medicare Part D standard for creditable coverage.Signature __________________________________________________ Date __________________________526GG07-0917CAG-22-366Armondo Pavone, MayorAttest: _____________________________Jason Seth, City Clerk11/21/2022
Rates ConfirmationCity of Renton -LEOFF 1 Retirees Effective Date 1/1/2023 to 1/1/2024The below rates have been quoted for the following plan(s). Please sign below to confirm rates.Applicant further acknowledges and agrees that payment of any premium due for the coverage shall constitute applicant's acceptance of the coverage agreement issued.Core HMOGroup Name City of Renton - Leoff I RetireesGroup Number 0057500RQ-172944Rates by TierEE$ 1,367.70S$ 1,554.281C$ 821.26AAC$ 1,100.64526GG07-0917
Medicare Rates by TierMedicareAB$ 564.50All plans offered and underwritten by Kaiser Foundation Health Plan of WashingtonThis health coverage meets or exceeds the minimum essential coverage requirements and the minimum value standard for the benefits it provides.This outpatient prescription drug coverage meets the Medicare Part D standard for creditable coverage.Signature __________________________________________________ Date __________________________526GG07-0917Armondo Pavone, MayorAttest:_________________________Jason Seth, City Clerk11/21/2022