California only. Provide all fee quotes net of commissions, overrides or other payments to brokers or consultants. Early Retirees Retiree Only N/A N/A Retiree w/One Dependent N/A N/A Retiree & Family N/A N/A Post 65 Retirees Retiree Only Part B Only Retiree Only w/Medicare Part A & B Retiree w/One Dep (One w/Part B Only) Retiree w/One Dep (One w/Part A & B) Retiree w/One Dep (Two w/Part B Only) Retiree w/One Dep (Two w/Medicare A & B) Retiree w/Family (One w/Part B Only) Retiree w/Family (One w/Part A & B) Retiree w/Family (Two w/Part B Only) Retiree w/Family (Two w/Medicare A & B)
Appears in 2 contracts
Sources: Administrative Services Agreement, Administrative Services Agreement