Eligibility and Cost
Eligibility Chart - Effective dates, PCP requirements and other eligibility information by plan.
Dependent Eligibility - Who is and is not an eligible dependent
Cost - Active Employee
Cost - Retiree (for more information, select Retirees from left menu)
Spouse Medical Plan Surcharge
If you cover your spouse in the PPO Plan (includes MPD/PMD) or HDP, this important information applies to you.
- Learn About the Spouse Medical Plan Surcharge
- Spouse Medical Plan Surcharge Affidavit - If you enroll your spouse in PPO Plan (includes MPD/PMD) or HDP
- More information about the Spouse Medical Plan Surcharge