DALRC has chosen The Hartford as its provider for Group Retiree Health Coverage because of its superior program and many years of experience in the retiree market. The DALRC medical plans that are available to you are designed to supplement, or fill many of the “gaps” which Medicare does not pay.

The coverage is guaranteed acceptance. In other words, you can obtain this coverage regardless of any previous medical condition you may have.  The state in which you reside will determine which plan(s) are available to you;  see the links below to learn more.

If you chose to participate in the DALRC medical and prescription drug plan, you may be eligible for a subsidy from Delta. The medical and prescription drug plans are the only plans which qualify for the Delta subsidy. Therefore, you must enroll in the medical and prescription drug plan to qualify for the subsidy.

Keep in mind that when you turn 65, you will need to enroll in Medicare Part B. Medicare Part A, the hospital portion, you are automatically enrolled in by Medicare.

The medical plans offered through the DALRC Retiree Benefit Trust are designed to supplement Medicare – not replace it. Therefore to obtain the full benefit it is important that you enroll in Medicare Part B.

Learn more about your coverage... 

Learn more about your coverage...

• Countrywide (all other states)
• Minnesota Residents
• Vermont Residents
• Washington Residents

Medical Plan Highlights - Countrywide

The Calendar Year Deductible of $300.00 must be satisfied before any Medicare Part B Outpatient benefits are paid out for the Hartford Plan. Deductible applies to all benefits excluding Hospital Confinement and Skilled Nursing Benefits. Only covered benefits will count towards meeting the deductible.

Annual Out-Of-Pocket Maximum of $1,500 applies to Medicare Part B expenses only. Amounts you incur for covered expenses, such as your deductible and any Part B coinsurance, will count towards meeting the annual out-of-pocket maximum of this plan.

If you live in WA, VT, or MN this plan is not available to you. Please click WA, VT, or MN for your plan offers.

Medical Plan and Prescription Drugs Plan Combined Rates for 2010

Countrywide Medical Plan & Emerald Prescription Drug Plan = $248.08*
Countrywide Medical Plan & Opal Prescription Drug Plan = $161.05*

*The above rates do not reflect the subsidy from Delta.  If you are eligible to receive the Delta Subsidy, you will need to subtract the subsidy amount you are eligible to receive from the rate show above to determine your actual monthly premium cost for the plan. 

VEBA Board Administration Fee:  Please note that a $2.00 administration charge has been added to the medical premium.  This will go to defray the costs of the DALRC Retiree Benefit Trust VEBA Board for travel, communications, Web site maintenance and other costs incurred in overseeing these plans. This $2.00 does not go to The Hartford but will be remitted to the VEBA Board through Marsh."

Subsidy Eligibility

Non-Pilot Subsidy
Delta Subsidy eligibility for the post 65 DALRC medical/prescription drug plan

Eligibility requirements for the subsidy provided by Delta were established in the 1114 non-pilot retiree committee agreement term sheet of October 2006.

Non-pilot Retirees, Spouses and/or Survivors who are age-60* and over on January 1, 2007 who retired on or before January 1, 2006 each shall be eligible for the Age 65+ subsidy upon attaining age 65 and enrolling in the DALRC medical/prescription drug plan, a Delta Affiliated program.  This is a closed group as of January 1, 2007 for eligibility in the non-pilot subsidy program.

The Delta subsidy applies only to the DALRC medical/prescription drug plan.

Pilot Subsidy
Delta Subsidy eligibility for pilots is based on their negotiated agreement

2010 Delta Subsidy based on above eligibility

Non Pilot >= age 60** on 01/01/2007 and DOR <=01/01/2007	Non Pilot - all others	Pilot - Retired prior to 01/1/1997	Pilot - Retired post 1/1/97
$51.27	$0.00	$82.04	$66.66

** age-59 for ERMO and Pension Plus retirees

Exclusions

This plan does not cover: any expense that is not a Medicare Eligible Expense or beyond the limits imposed by Medicare for such expenses or excluded by name or specific description by Medicare, except as specifically provided in the policy; any portion of a covered expense to the extent paid by Medicare; benefits payable under one benefit of the policy to the extent covered under another benefit of the policy; or expenses incurred after coverage termintes, except as stated in the Extension-of-Benefits provision of the policy.

The summary of program benefits described herein is for illustrative purposes only. In case of differences or errors, the Group Policy Governs.  

Fact Sheet

Medical Plan Highlights - Minnesota Residents

Medical Plan and Prescription Drugs Plan Combined Rates

MN: Medical Plan (Smoker) & Emerald Rx Drug Plan = $332.17*
MN: Medical Plan (Smoker) & Opal Rx Drug Plan = $254.07*
MN: Medical Plan (Non-Smoker) & Emerald Rx Drug Plan = $322.12*
MN: Medical Plan (Non-Smoker) & Opal Rx Drug Plan = $244.02*

*The above rates do not reflect the subsidy from Delta.  If you are eligible to receive the Delta Subsidy, you will need to subtract the subsidy amount you are eligible to receive from the rate show above to determine your actual monthly premium cost for the plan.

Subsidy Eligibility

Non-Pilot Subsidy
Delta Subsidy eligibility for the post 65 DALRC medical/prescription drug plan

Eligibility requirements for the subsidy provided by Delta were established in the 1114 non-pilot retiree committee agreement term sheet of October 2006.

Non-pilot Retirees, Spouses and/or Survivors who are age-60* and over on January 1, 2007 who retired on or before January 1, 2006 each shall be eligible for the Age 65+ subsidy upon attaining age 65 and enrolling in the DALRC medical/prescription drug plan, a Delta Affiliated program.  This is a closed group as of January 1, 2007 for eligibility in the non-pilot subsidy program.

The Delta subsidy applies only to the DALRC medical/prescription drug plan.

Pilot Subsidy
Delta Subsidy eligibility for pilots is based on their negotiated agreement

2009 Delta Subsidy based on above eligibility

Non Pilot >= age 60** on 01/01/2007 and DOR <=01/01/2007	Non Pilot - all others	Pilot - Retired prior to 01/1/1997	Pilot - Retired post 1/1/97
$52.68	$0.00	$84.29	$68.49

** age-59 for ERMO and Pension Plus retirees

Exclusions

This plan does not cover: any expense that is not a Medicare Eligible Expense or beyond the limits imposed by Medicare for such expenses or excluded by name or specific description by Medicare, except as specifically provided in the policy; any portion of a covered expense to the extent paid by Medicare; benefits payable under one benefit of the policy to the extent covered under another benefit of the policy; or expenses incurred after coverage termintes, except as stated in the Extension-of-Benefits provision of the policy.

The summary of program benefits described herein is for illustrative purposes only. In case of differences or errors, the Group Policy Governs

Fact Sheet

Medical Plan Highlights - Vermont Residents

Medical Plan and Prescription Drugs Plan Combined Rates

VT: Medical Plan A & Emerald Prescription Drug Plan = $186.29*
VT: Medical Plan A & Opal Prescription Drug Plan = $108.19*
VT: Medical Plan D & Emerald Prescription Drug Plan = $210.58*
VT: Medical Plan D & Opal Prescription Drug Plan = $132.48*

*The above rates do not reflect the subsidy from Delta.  If you are eligible to receive the Delta Subsidy, you will need to subtract the subsidy amount you are eligible to receive from the rate show above to determine your actual monthly premium cost for the plan.

Subsidy Eligibility

Non-Pilot Subsidy
Delta Subsidy eligibility for the post 65 DALRC medical/prescription drug plan

Eligibility requirements for the subsidy provided by Delta were established in the 1114 non-pilot retiree committee agreement term sheet of October 2006.

Non-pilot Retirees, Spouses and/or Survivors who are age-60* and over on January 1, 2007 who retired on or before January 1, 2006 each shall be eligible for the Age 65+ subsidy upon attaining age 65 and enrolling in the DALRC medical/prescription drug plan, a Delta Affiliated program.  This is a closed group as of January 1, 2007 for eligibility in the non-pilot subsidy program.

The Delta subsidy applies only to the DALRC medical/prescription drug plan.

Pilot Subsidy
Delta Subsidy eligibility for pilots is based on their negotiated agreement

2009 Delta Subsidy based on above eligibility

Non Pilot >= age 60** on 01/01/2007 and DOR <=01/01/2007	Non Pilot - all others	Pilot - Retired prior to 01/1/1997	Pilot - Retired post 1/1/97
$52.68	$0.00	$84.29	$68.49

** age-59 for ERMO and Pension Plus retirees

Exclusions

This plan does not cover: any expense that is not a Medicare Eligible Expense or beyond the limits imposed by Medicare for such expenses or excluded by name or specific description by Medicare, except as specifically provided in the policy; any portion of a covered expense to the extent paid by Medicare; benefits payable under one benefit of the policy to the extent covered under another benefit of the policy; or expenses incurred after coverage termintes, except as stated in the Extension-of-Benefits provision of the policy.

The summary of program benefits described herein is for illustrative purposes only. In case of differences or errors, the Group Policy Governs.  

Fact Sheet

Medical Plan Highlights - Washington Residents

Medical Plan and Prescription Drugs Plan Combined Rates

WA: Medical Plan A & Emerald Prescription Drug Plan = $217.28*
WA: Medical Plan A & Opal Prescription Drug Plan = $139.18*
WA: Medical Plan D & Emerald Prescription Drug Plan = $257.28*
WA: Medical Plan D & Opal Prescription Drug Plan = $179.18*

*The above rates do not reflect the subsidy from Delta.  If you are eligible to receive the Delta Subsidy, you will need to subtract the subsidy amount you are eligible to receive from the rate show above to determine your actual monthly premium cost for the plan.

Subsidy Eligibility

Non-Pilot Subsidy
Delta Subsidy eligibility for the post 65 DALRC medical/prescription drug plan

Eligibility requirements for the subsidy provided by Delta were established in the 1114 non-pilot retiree committee agreement term sheet of October 2006.

Non-pilot Retirees, Spouses and/or Survivors who are age-60* and over on January 1, 2007 who retired on or before January 1, 2006 each shall be eligible for the Age 65+ subsidy upon attaining age 65 and enrolling in the DALRC medical/prescription drug plan, a Delta Affiliated program.  This is a closed group as of January 1, 2007 for eligibility in the non-pilot subsidy program.

The Delta subsidy applies only to the DALRC medical/prescription drug plan.

Pilot Subsidy
Delta Subsidy eligibility for pilots is based on their negotiated agreement

2009 Delta Subsidy based on above eligibility

Non Pilot >= age 60** on 01/01/2007 and DOR <=01/01/2007	Non Pilot - all others	Pilot - Retired prior to 01/1/1997	Pilot - Retired post 1/1/97
$52.68	$0.00	$84.29	$68.49

** age-59 for ERMO and Pension Plus retirees

Exclusions

This plan does not cover: any expense that is not a Medicare Eligible Expense or beyond the limits imposed by Medicare for such expenses or excluded by name or specific description by Medicare, except as specifically provided in the policy; any portion of a covered expense to the extent paid by Medicare; benefits payable under one benefit of the policy to the extent covered under another benefit of the policy; or expenses incurred after coverage termintes, except as stated in the Extension-of-Benefits provision of the policy.

The summary of program benefits described herein is for illustrative purposes only. In case of differences or errors, the Group Policy Governs

Fact Sheet

These form(s) are in Acobe Acrobat Reader (PDF)  format and are available for downloading and printing. Click the button below to download a fee copy of Adobe Acrobat Reader.

We're here to help! Feel free to contact us in whatever manner is most convenient for you.