Page 6 - Caltech

2021 Monthly Defined Dollar Credit Amounts
Grandfathered Retiree
Grandfathered Retiree
Spouse/Surviving Spouse
Medicare eligible
Non-Medicare eligible
Medicare eligible
Non-Medicare eligible
Credit = cost of plan
$663
Credit = cost of plan
$332
$0
$298
$663
$149
$332
$0
Child
Plan N/A
Kaiser
All other plans
Child
Years of
service N/A
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25+
Retiree
Retiree
Spouse/Surviving Spouse
Medicare eligible
Non-Medicare eligible
Medicare eligible
Non-Medicare eligible
$119
$265
$60
$133
$0
$131
$292
$66
$146
$0
$143
$318
$345
$72
$78
$159
$0
$155
$173
$0
$167
$371
$84
$186
$0
$179
$398
$90
$199
$0
$191
$424
$96
$212
$0
$203
$451
$102
$226
$0
$215
$477
$108
$239
$0
$226
$504
$113
$252
$0
$238
$530
$119
$265
$0
$250
$557
$125
$279
$0
$262
$583
$131
$292
$0
$274
$610
$137
$305
$0
$286
$636
$143
$318
$0
$298
$663
$149
$332
$0
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