Employee

804.80

5.6

788.70

Employee & spouse

1,596.22

5.6

1,564.30

Employee, spouse, + one child

2,000.06

5.6

1,960.06

Employee, spouse, + two children (full family)

2,403.90

5.6

2,355.82

Employee + one child

1,208.64

5.6

1,184.48

Employee + two children

1,612.48

5.6

1,580.24

No additional charge for three or more children.

Employee

744.46

5.6

729.58

Employee & spouse

1,476.48

5.6

1,446.96

Employee, spouse, + one child

1,850.06

5.6

1,813.06

Employee, spouse, + two children (full family)

2,223.62

5.6

2,179.16

Employee + one child

1,118.04

5.6

1,095.68

Employee + two children

1,491.60

5.6

1,461.78

No additional charge for three or more children.

Employee

669.64

5.6

656.26

Employee & spouse

1,325.82

5.6

1,299.30

Employee, spouse, + one child

1,661.16

5.6

1,627.94

Employee, spouse, + two children (full family)

1,996.50

5.6

1,956.58

Employee + one child

1,004.98

5.6

984.88

Employee + two children

1,340.32

5.6

1,313.52

No additional charge for three or more children.

Employee

891.12

5.6

873.30

Employee & spouse

1,767.92

5.6

1,732.56

Employee, spouse, + one child

2,215.16

5.6

2,170.86

Employee, spouse, + two children (full family)

2,662.40

5.6

2,609.16

Employee + one child

1,338.36

5.6

1,311.60

Employee + two children

1,785.60

5.6

1,749.90

No additional charge for three or more children.

LEOFF I retiree not on Medicare

2,664.36

5.6

LEOFF I retiree on Medicare

498.62

3.6