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Medical/Dental Insurance
for Faculty, Staff & Librarians — Medical Premiums for PEBB Employees

Monthly Premium Rates for 2012

Health Plans Employee Employee & Spouse/QDP* Employee & Children Full Family
Uniform Medical Classic $82 $174 $144 $236
Uniform Medical CDHP-HSA* $27 $64 $47 $84
Group Health Classic $101 $212 $177 $288
Group Health Value $52 $114 $91 $153
Group Health CDHP-HSA* $26 $62 $46 $82
Kaiser Permanente Classic $89 $188 $156 $255
Kaiser CDHP-HSA* $24 $58 $42 $76

Monthly Premium Rates for 2011

Health Plans Employee Employee & Spouse/QDP* Employee & Children Full Family
Uniform Medical $60 $130 $105 $175
Group Health Classic $71 $152 $124 $205
Group Health Value $30 $70 $53 $93
Kaiser Permanente Classic $105 $220 $184 $299

*Notes:

Section 125 Plan

The Section 125 Plan provides tax savings by deducting employee medical premiums from your gross salary prior to calculation of federal income and social security taxes, as allowed under Internal Revenue Code (IRC) Section 125.

Medical premiums will automatically be taken as pre-tax, unless a Section 125 Waiver form is submitted to the Benefits Office. Learn more and download the form.

Newly eligible employees may elect to waive Section 125 at the time they choose a medical plan; otherwise, it can only be waived during the open enrollment, for a January 1 effective date.


Disclaimer: The information on this page does not substitute for official plan documents. If there is a conflict between the information on this site and an official plan document, the official plan document will govern. Refer to the Benefits Forms & Publications page.

Plan availability and eligibility may change depending on your employment status and/or actions of the Washington State Health Care Authority (HCA), the agency that purchases and coordinates health insurance benefits for public employees, including employees of the University of Washington, through the Public Employees Benefits Board (PEBB) program.

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