Retirees before 11/01/2012 Monthly Retiree Contributions EE Contribution Under Age 65 HMO – Triple S PPO (Puerto Rico Only) Employee Only Employee Plus 1 Employee Plus 2 100.53 191.00 261.18 Under Age 65 Retiree Value Plan RPO Employee Only Employee Plus 1 Employee Plus 2 155.00 310.00 465.00 Under Age 65 Retiree Standard Plan…