Employee

762.12

712.20

$663.58

$631.98

$620.20

Employee + spouse

1,511.56

1,412.54

$13,16.10

Employee + spouse + one child

1,893.96

1,769.90

$1,649.06

Employee + spouse + two children (full family)

2,276.38

2,127.26

$1,982.02

Employee + one child

1,144.54

1,069.56

$996.54

Employee + two children

1,526.94

1,426.92

$1,329.50

Spouse

$621.44

$609.86

First dependent

$317.10

$311.20

Second dependent

$317.10

$311.20

Employee

704.98

658.80

$613.82

$584.58

$573.68

Employee + spouse

1,398.18

1,306.60

$1,217.40

Employee + spouse + one child

1,751.92

1,637.16

$1,525.38

Employee + spouse + two children (full family)

2,105.68

1,967.74

$1,833.38

Employee + one child

1,058.72

989.36

$921.80

Employee + two children

1,412.48

1,319.94

$1,229.80

Spouse

$574.84

$564.12

First dependent

$293.32

$287.84

Second dependent

$293.32

$287.84

Employee

634.12

592.58

$552.12

$525.82

$546.02

Employee + spouse

1,255.50

1,173.26

$1,093.16

Employee + spouse + one child

1,573.06

1,470.02

$1,369.64

Employee + spouse + two children (full family)

1,890.62

1,766.78

$1,646.14

Employee + one child

951.68

889.34

$828.60

Employee + two children

1,269.24

1,186.10

$1,105.10

Spouse

$515.28

$505.66

First dependent

$263.32

$258.40

Second dependent

$263.32

$258.40

Employee

843.86

788.58

$734.74

$674.06

$623.54

Employee + spouse

1,674.16

1,564.48

$1,457.66

Employee + spouse + one child

2,097.68

1,960.26

$1,826.42

Employee + spouse + two children (full family)

2,521.20

2,356.04

$2,195.16

Employee + one child

1,267.38

1,184.36

$1,103.48

Employee + two children

1,690.90

1,580.14

$1,472.24

Spouse

$663.24

$613.54

First dependent

$338.30

$312.96

Second dependent

$338.30

$312.96

LEOFF 1 retiree (Not on Medicare Parts A & B)

2,523.06

2,357.80

$2,234.88

$2,128.46

$2,060.54

LEOFF 1 retiree (On Medicare Parts A & B)

481.08

492.38

$501.46

$483.14

$468.06