2026_Retiree_Benefits_MWAA | Page 12

MONTHLY BENEFITS CONTRIBUTION

Failure to pay required benefits contributions on time may result in the termination of coverage. UNDER AGE 65( NOT MEDICARE-ELIGIBLE)

Surviving spouse( under 65) + child( ren)

Retiree + spouse( both under 65) + child( ren)

Retiree + spouse( both under 65) + child( ren)( Medicare)

$ 385 $ 425 $ 359 $ 53 $ 8

$ 578 $ 639 $ 539 $ 82 $ 11

$ 557 $ 600 $ 441 $ 82 $ 11

Surviving child( ren) $ 173 $ 192 $ 162 $ 20 $ 3

RETIREES AND / OR SPOUSE AGE 65 AND OLDER( MEDICARE-ELIGIBLE)

UHC Medicare Advantage Only

UHC Medicare Advantage + Choice

UHC Medicare Advantage + Choice Plus

Kaiser Medicare Advantage Only

Kaiser Medicare + pre-65 Kaiser

United Concordia Dental

Retiree only $ 173 n / a n / a $ 64 n / a $ 20 $ 3

Retiree + spouse( both 65 and older)

Retiree( 65 and older) + spouse( under 65)

Retiree( under 65) + spouse( 65 and older)

Retiree( 65 and older) + child( ren)

Retiree + spouse( both 65 and older) + child( ren)

Retiree( 65 and older) + spouse( under 65) + child( ren)

Retiree( under 65) + spouse( 65 and older) + child( ren)

$ 360 n / a n / a $ 129 n / a $ 41 $ 7

n / a $ 385 $ 407 n / a $ 262 $ 41 $ 7

n / a $ 382 $ 403 n / a $ 244 $ 41 $ 7

n / a $ 346 $ 365 n / a $ 226 $ 53 $ 8

NVA Vision

n / a $ 533 $ 552 n / a $ 291 $ 82 $ 11

n / a $ 558 $ 598 n / a $ 423 $ 82 $ 11

n / a $ 555 $ 594 n / a $ 405 $ 82 $ 11

Surviving spouse( over 65) $ 187 n / a n / a $ 64 n / a $ 20 $ 3

Surviving spouse( over 65) + child( ren)

Retiree + spouse( both 65 or older) + child( ren)( Medicare) n / a $ 360 $ 379 n / a $ 226 $ 53 $ 8

$ 512 n / a n / a $ 193 n / a $ 82 $ 11

Surviving child( ren)( Medicare) $ 152 n / a n / a $ 64 n / a $ 20 $ 3

12 | METROPOLITAN WASHINGTON AIRPORTS AUTHORITY