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Download PDF Rate Sheet (196 KB)Medical
| Plan | Subscriber Only | Subscriber & Spouse* | Subscriber & Children | Full Family |
|---|---|---|---|---|
| Group Health CDHP |
$26.00 | $62.00 | $46.00 | $82.00 |
| Group Health Classic |
$101.00 | $212.00 | $177.00 | $288.00 |
| Group Health Value |
$52.00 | $114.00 | $91.00 | $153.00 |
| Kaiser Permanente CDHP |
$24.00 | $58.00 | $42.00 | $76.00 |
| Kaiser Permanente Classic |
$89.00 | $188.00 | $156.00 | $255.00 |
| Uniform Medical Plan (UMP) CDHP | $27.00 | $64.00 | $47.00 | $84.00 |
| Uniform Medical Plan (UMP) Classic | $82.00 | $174.00 | $144.00 | $236.00 |
Dental (with Medical)
| Plan | Subscriber Only | Subscriber & Spouse* | Subscriber & Children | Full Family |
|---|---|---|---|---|
| DeltaCare | $0.00 | $0.00 | $0.00 | $0.00 |
| Uniform Dental Plan | $0.00 | $0.00 | $0.00 | $0.00 |
| Willamette Dental Group | $0.00 | $0.00 | $0.00 | $0.00 |
* or state-registered domestic partner
Uniform Medical Plan has an out of state network for care in other states.
Managed-care dental plans require you to receive care from an approved office location. Please visit the Dental Benefits page for additional information and office locations.
