Participating Agency Monthly Premium Rates for Employers
PLAN PRIME
- Individual Coverage: $1,479.53
- Family Coverage: $3,367.80
Plan Prime rates apply to active employees and retirees who are not Medicare-primary.
MEDIPRIME
- Individual Coverage (one Medicare-primary individual): $551.85
- Family Coverage (one Medicare-primary individual): $1,820.56
- Family Coverage (two or more Medicare-primary individuals): $1,511.55
Employers are required by the New York State Civil Service Law to reimburse Medicare-primary enrollees and their enrolled Medicare-primary dependents for their cost of the Medicare Part B premium.
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Employers are required to contribute a minimum of 50% of the cost for individual coverage and 35% of the cost for dependent coverage (i.e., the difference between the Family premium and the Individual premium). Family coverage under NYSHIP is for two or more covered members.