This information is no longer current - it is for reference only. It is an archive review of events that took place during United Airline's Chapter 11 Bankruptcy from December 9, 2002 - February 1, 2006.

Medical Contribution Chart

Page updated: April 8, 2003

Note: The four (4) Tier system referred to in the Medical Contribution Plan is defined by the following categories:

  • 1 Adult
  • 2 Adult
  • 1 Adult & Children
  • 2 Adults & Children

Active Employee

Medical (PPO Option)

  1 Adult 2 Adults 1 Adult & Children 2 Adults & Children
2003 Rates based on proposed plan design  $252.38  $529.99  $479.51 $757.13
Employee Contribution 10% $25.24 $53.00  $47.95  $75.71

Dental (Traditional Plan)

  1 Adult 2 Adults 1 Adult & Children 2 Adults & Children
2003 Rates based on proposed plan design  $33.41  $70.15  $73.51  $110.25
Employee Contribution 10%  $3.34  $7.02  $7.35  $11.03

Retiree Employee

Medical (PPO Option)

  1 Adult 2 Adults 1 Adult & Children 2 Adults & Children
2003 Rates based on proposed plan design $252.38 $529.99 $479.51 $757.13
Pre-Medicare Retiree Contribution  40% $100.95 $212.00 $191.80 $302.85
Pre-Medicare Retiree Contribution  60% $151.43 $317.99 $287.71 $454.28
Pre-Medicare Retiree Contribution  80% $201.90 $423.99 $383.61 $605.70

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