Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32 Page 33 Page 34 Page 35 Page 36 Page 37 Page 384 •  For the 2017 plan year, WSSC contributes 76% of the monthly premium towards the United Healthcare Choice Plus POS plan and 79% of the monthly premium for all other health plans. •  There is no WSSC contribution to the Dental or Vision plans. *  Rates may vary based on years of service and/or retirement status. If you were hired after April 1, 1994 and have less than 20 years of service, or you are a deferred retiree with less than 20 years of service, you are subject to a higher perceptage of cost sharing than what is shown in this chart. Please contact HR for more details. **  Once you become eligible for Medicare Part B, you must enroll. Your plan with WSSC will coordinate with Medicare to pay your medical bills. Please see pages 19–23 in this booklet for more information. 2017 Medical, Dental & Vision Plan Rates for Retirees