Employee Benefit Trust


COBRA monthly rates for 2019

Regence Blue Shield and Asuris Northwest Health

 

HealthFirst® 250

HealthFirst® 500

HDHP/HSA

Accountable Health Network

Employee

773.57

726.95

537.93

738.60

Spouse

780.06

733.87

544.56

744.80

1st child

384.27

360.71

273.05

366.91

2nd child and all others

317.69

299.76

223.56

303.33

Full family

2,255.59

2,121.29

1,579.10

2,153.65

Kaiser Permanente

 

$20 copay/$200 deductible

$20 copay/$500 deductible

HDHP/HSA

Access PPO

Employee

632.60

585.15

526.34

636.01

Spouse

622.06

575.40

515.77

625.81

1st child

317.42

293.60

263.57

319.22

2nd child and all others

317.42

293.60

263.57

319.22

Full family

1,889.51

1,747.75

1,569.25

1,900.26

Vision Service Plan

 

No copay plan

$10 copay

$25 copay

$10/$15 copay

2nd pair option

Employee

11.18

9.71

7.87

6.22

1.08

Employee + 1

22.35

19.42

15.75

12.44

2.15

Employee + 2 or more

33.53

29.13

23.61

18.67

3.23

Delta Dental of Washington

Dental

Plan A

Plan B

Plan C

Plan D

Plan E

Plan F

Plan G

Plan J

Employee

53.84

47.45

38.78

49.97

49.66

55.89

54.72

57.78

Employee + 1

102.21

88.27

74.69

105.49

92.34

105.70

103.53

109.29

Employee + 2 or more

161.45

145.51

122.11

156.16

151.85

165.45

171.16

171.08


Orthodontia

Plan I

Plan II

Plan III

Plan IV

Plan V

Employee

0.00

0.00

1.25

0.00

2.49

Employee + 1

0.16

0.42

3.11

1.06

5.80

Employee + 2 or more

9.88

19.75

22.22

35.43

39.81

Willamette Dental Service

 

Plan 1 – 10 copay

Plan 2 – 15 copay

Employee

66.95

51.20

Employee + 1

125.46

98.72

Employee + 2 or more

199.86

162.89

ComPsych Employee Assistance Program

If you have any Trust benefits (listed above), the 1-3 session model of the Employee Assistance Program (EAP) is included without paying the additional premium listed below. If you have no other Trust benefits, and you were previously covered under the EAP, the below rates apply. If your previous employer purchased the 1-5 or 1-8 session buy-up option, the below buy-up plan rates apply.

1-3 session model

1.52

1-5 session model

1.68

1-8 session model

1.79

Buy up plans

Buy-up option 1-5 session model

0.16

Buy-up option 1-8 session model

0.27

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