Employee

804.80

762.12

712.20

663.58

631.98

Employee + spouse

1,596.22

1,511.56

1,412.54

13,16.10

Employee + spouse + one child

2,000.06

1,893.96

1,769.90

1,649.06

Employee + spouse + two children (full family)

2,403.90

2,276.38

2,127.26

1,982.02

Employee + one child

1,208.64

1,144.54

1,069.56

996.54

Employee + two children

1,612.48

1,526.94

1,426.92

1,329.50

Spouse

621.44

First dependent

317.10

Second dependent

317.10

Employee

744.46

704.98

658.80

613.82

584.58

Employee + spouse

1,476.48

1,398.18

1,306.60

1,217.40

Employee + spouse + one child

1,850.06

1,751.92

1,637.16

1,525.38

Employee + spouse + two children (full family)

2,223.62

2,105.68

1,967.74

1,833.38

Employee + one child

1,118.04

1,058.72

989.36

921.80

Employee + two children

1,491.60

1,412.48

1,319.94

1,229.80

Spouse

574.84

First dependent

293.32

Second dependent

293.32

Employee

669.64

634.12

592.58

552.12

525.82

Employee + spouse

1,325.82

1,255.50

1,173.26

1,093.16

Employee + spouse + one child

1,661.16

1,573.06

1,470.02

1,369.64

Employee + spouse + two children (full family)

1,996.50

1,890.62

1,766.78

1,646.14

Employee + one child

1,004.98

951.68

889.34

828.60

Employee + two children

1,340.32

1,269.24

1,186.10

1,105.10

Spouse

515.28

First dependent

263.32

Second dependent

263.32

Employee

891.12

843.86

788.58

734.74

674.06

Employee + spouse

1,767.92

1,674.16

1,564.48

1,457.66

Employee + spouse + one child

2,215.16

2,097.68

1,960.26

1,826.42

Employee + spouse + two children (full family)

2,662.40

2,521.20

2,356.04

2,195.16

Employee + one child

1,338.36

1,267.38

1,184.36

1,103.48

Employee + two children

1,785.60

1,690.90

1,580.14

1,472.24

Spouse

663.24

First dependent

338.30

Second dependent

338.30

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

2,664.36

2,523.06

2,357.80

2,234.88

2,128.46

LEOFF 1 retiree (On Medicare Parts A & B)

498.62

481.08

492.38

501.46

483.14