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K-12 School and Educational Service District (ESD) Base Monthly Rates with Employee Contribution

(effective January 1, 2012 - August 31, 2012)

Medical Plans	Employee	Employee & Spouse*	Employee & Child(ren)	Full Family
Group Health Classic Employee Pays	$951 101	$1,062 212	$1,027 177	$1,138 288
Group Health CDHP Employee Pays	876 26	912 62	896 46	932 82
Group Health Value Employee Pays	902 52	964 114	941 91	1,003 153
Kaiser Permanente Classic Employee Pays	939 89	1,038 188	1,006 156	1,105 255
Kaiser Permanente CDHP Employee Pays	874 24	908 58	892 42	926 76
UMP Classic Employee Pays	932 82	1,024 174	994 144	1,086 236
UMP CDHP Employee Pays	877 27	914 64	897 47	934 84

*or State-registered domestic partner

• In the table above, the first row for each plan shows the total amount paid to HCA per employee. It includes the employer base rate of $850 per employee per month (September 1, 2011 through August 31, 2012) and the employee's minimum share.
• The employer must pay $850 to the HCA for each employee, even if the employee waives medical coverage.

For more information contact the PEBB Outreach and Training Unit.