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Self-Pay Insurance
for Faculty, Staff & Librarians — 2010 Self-Pay Rates

These rates are for employees in a leave-without-pay (LWOP) or reduction-in-force (RIF) situation. Medicare rates are not available to these subscribers.

Medical rates

2010 Medical Plans Subscriber Only Subscriber
& Spouse/QDP*
Subscriber
& Child(ren)
Full Family
Aetna Public Employees Plan $531.44 $1,056.44 $925.19 $1,450.19
Group Health Classic 470.73 935.02 818.95 1,283.24
Group Health Value 421.44 836.44 732.69 1,147.69
Kaiser Permanente Classic 471.51 936.58 820.31 1,285.38
Kaiser Permanente Value 441.08 875.72 767.06 1,201.70
Uniform Medical Plan 440.20 873.96 765.52 1,199.28

Dental rates (with medical)

2010 Dental Plans Subscriber Only Subscriber
& Spouse/QDP*
Subscriber
& Child(ren)
Full Family
DeltaCare, administered by Washington Dental Service $37.19 $74.38 $74.38 $ 111.57
Willamette Dental of Washington 40.18 80.36 80.36 120.54
Uniform Dental Plan 44.53 89.06 89.06 133.59

Dental rates (without medical)

2010 Dental Plans Subscriber Only Subscriber
& Spouse/QDP*
Subscriber
& Child(ren)
Full Family
DeltaCare, administered by Washington Dental Service $43.63 $80.82 $80.82 $118.01
Willamette Dental of Washington 46.62 86.80 86.80 126.98
Uniform Dental Plan 50.97 95.50 95.50 140.03

*QDP = Qualified Domestic Partner

Leave/Layoff
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