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Teamsters Local 631
Security Fund


Date:              MAY, 2002

To:                    ALL PLAN PARTICIPANTS 

From:             BOARD OF TRUSTEES

BENEFIT CONTRIBUTION SUMMARY

 

Increase Effective – 5/1/2002 to 4/30/2003

 

TYPE OF PLAN

 

MEDICAL/Rx FOR SELF PAY RETIREES

 

MEDICAL/Rx  FOR REECO RETIREES 

 

DENTAL *
(Retiree Contribution)

 

Indemnity –
Non-Medicare

 

 

$842.00

 

$605.42

 

$35.00

 

Indemnity – Medicare

 

 

$562.00

 

$325.42

 

$35.00

 

HPN –
Non-Medicare

 

 

$0.00

 

$0.00

 

$35.00

 

HPN –
Medicare Risk

 

 

$0.00

 

$0.00

 

$35.00

 

 

Pacificare –
Non-Medicare

 

 

$0.00

 

$0.00

 

$35.00

 

Pacificare –
Medicare Risk

 

 

 

$0.00

 

$0.00

 

$35.00

 

*Dental Contribution for only those Retirees who elected Dental at the time of retirement.  Cannot be added after retirement. 

 


 

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