Express Scripts or 1

Insurance and Prescriptions

Aetna Basic PPO or Aetna Plus PPO 1-800-645-5677

Delta Dental Customer and Claims Services Department 1-866-349-1286

VSP Vision Plan Member Services 1-800-877-7195

ORTA established 1947

STRS Health Care Premiums for 2008

Indemnity and Preferred Provider Organization (PPO)
Benefit Recipient Years of Service	Aetna Basic Plan	Medical Mutual Basic Plan	Aetna Plus Plan	Medical Mutual Plus Plan
30+ Years of Service	$145	$111	$235	$181
20 Years of Service	$256	$222	$416	$362
15 Years of Service	$311	$277	$506	$452
<15 Years of Service	$478	$444	$778	$724
Spouse	$388	$362	$717	$669

	Preferred Provider Organization (PPO)	Commercial HMO
Benefit Recipient Years of Service	AultCare PPO	Kaiser Permanete	Paramount Health Care
30+ Years of Service	$47	$103	$113
20 Years of Service	$228	$284	$294
15 Years of Service	$318	$374	$384
<15 Years of Service	$590	$646	$656
Spouse	$490	$536	$580

Monthly Premiums for 2008 — With Medicare Parts A & B

	Indemnity		Preferred Provider Organization (PPO)
Benefit Recipient Years of Service	Aetna Basic Plan & Medical Mutual Basic Plan	Aetna Plus Plan & Medical Mutual Plus Plan	AultCare PPO
30+ Years of Service	$40	$69	$40
20 Years of Service	$73	$138	$107
15 Years of Service	$91	$173	$142
<15 Years of Service	$146	$277	$246
Spouse	$146	$302	$276

	Commercial HMO	Medicare HMO
Benefit Recipient Years of Service	Paramount Health Care	Kaiser Permanete Medicare Plus	Paramount Elite
30+ Years of Service	$108	$43	$48
20 Years of Service	$177	$112	$117
15 Years of Service	$212	$147	$152
<15 Years of Service	$316	$251	$256
Spouse	$350	$251	$257