| Uniform Medical Plan Classic | Uniform Medical Plan CDHP w/HSA | Group Health Classic | Group Health Value | Group Health CDHP w/HSA | Kaiser Permanente Classic | Kaiser Permanente CDHP w/HSA | |
|---|---|---|---|---|---|---|---|
| Subscriber Only | $545.83 |
$499.95 |
$584.66 |
$535.22 |
$513.77 |
$567.06 |
$498.95 |
| Subscriber & Spouse/QDP | 1,085.48 |
990.26 |
1,163.14 |
1,064.26 |
1,018.40 |
1,127.94 |
988.26 |
| Subscriber & Child(ren) | 950.57 |
882.27 |
1,018.52 |
932.00 |
906.83 |
987.72 |
880.52 |
| Full Family | 1,490.22 |
1,314.25 |
1,597.00 |
1,461.04 |
1,353.13 |
1,548.60 |
1,311.50 |
| Members enrolled in Part A & B of Medicare: | # Eligible | Uniform Medical Plan Classic | Group Health Medicare Plan | Group Health Classic | Group Health Value | Kaiser Permanente Classic |
|---|---|---|---|---|---|---|
| Subscriber Only | $369.24 |
$265.03 |
N/A ‡ |
N/A ‡ |
$297.16 |
|
| Subscriber & Spouse/QDP | 1 |
908.89 |
N/A ‡ |
$843.51 |
$794.07 |
858.04 |
| Subscriber & Spouse/QDP | 2 |
732.30 |
523.88 |
N/A ‡ |
N/A ‡ |
588.14 |
| Subscriber & Child(ren) | 1 |
773.98 |
N/A ‡ |
698.89 |
661.81 |
717.82 |
| Subscriber & Child(ren) | 2 |
732.30 |
523.88 |
N/A ‡ |
N/A ‡ |
588.14 |
| Full Family | 1 |
1,313.63 |
N/A ‡ |
1,277.37 |
1,190.85 |
1,278.70 |
| Full Family | 2 |
1,137.04 |
N/A ‡ |
957.74 |
920.66 |
1,008.80 |
| Full Family | 3 |
1,095.36 |
782.73 |
N/A ‡ |
N/A ‡ |
879.12 |
‡ If a Group Health subscriber is enrolled in Medicare Part A and Part B but covers a family member not eligible for Medicare, the family member must enroll in a Group Health Classic or Value plan and the subscriber pays a combined Medicare and non-Medicare rate.
| Uniform Dental Plan, administered by WDS | DeltaCare, administered by WDS |
Willamette Dental | |
|---|---|---|---|
| Subscriber Only | $46.34 |
$39.53 |
$40.20 |
| Subscriber & Spouse/QDP | 92.68 |
79.06 |
80.40 |
| Subscriber & Child(ren) | 92.68 |
79.06 |
80.40 |
| Full Family | 139.02 |
118.59 |
120.60 |
| Uniform Dental Plan, administered by WDS | DeltaCare, administered by WDS |
Willamette Dental | |
|---|---|---|---|
| Subscriber Only | $52.52 |
$45.71 |
$46.38 |
| Subscriber & Spouse/QDP | 98.86 |
85.24 |
86.58 |
| Subscriber & Child(ren) | 98.86 |
85.24 |
86.58 |
| Full Family | 145.20 |
124.77 |
126.78 |
*QDP = Qualified Domestic Partner (i.e. Washington State-registered domestic partner)
** Rates are subject to change.
Loss of Insurance
Eligibility Topics