RATES:

• Retiree and dependent(s) under age 65

• Retiree and dependents(s) under and over age 65

• Retiree and dependent over age 65

BENEFIT SUMMARIES AND ENROLLMENT FORMS:

Under Age 65:

• Kaiser Benefit Summary

• Key Advantage 250 (Anthem) Benefit Summary

• Key Advantage 500 (Anthem) Benefit Summary

• Key Advantage High Deductible Health Plan (Anthem) Benefit Summary

• Retiree Health Insurance Enrollment Form

Age 65 and Over:

• Retiree Key Advantage 65+ with Dental and Vision Benefit Summary

• Retiree Health Insurance Enrollment Form