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Download PDF Rate Sheet (268.1 KB)Medical
| Plan | Subscriber Only | Subscriber & Spouse* | Subscriber & Children | Full Family |
|---|---|---|---|---|
| Group Health CDHP |
$482.92 | $957.35 | $853.32 | $1,269.42 |
| Group Health Classic |
$550.48 | $1,095.43 | $959.19 | $1,504.14 |
| Group Health Value |
$501.58 | $997.63 | $873.62 | $1,369.67 |
| Kaiser Permanente CDHP |
$481.27 | $953.55 | $850.06 | $1,264.01 |
| Kaiser Permanente Classic |
$538.18 | $1,070.83 | $937.67 | $1,470.32 |
| Uniform Medical Plan (UMP Classic) | $531.11 | $1,056.69 | $925.30 | $1,450.88 |
| Uniform Medical Plan CDHP | $485.22 | $961.45 | $856.97 | $1,274.87 |
Dental (with Medical)
| Plan | Subscriber Only | Subscriber & Spouse* | Subscriber & Children | Full Family |
|---|---|---|---|---|
| DeltaCare | $39.53 | $79.06 | $79.06 | $118.59 |
| Uniform Dental Plan | $45.20 | $90.40 | $90.40 | $135.60 |
| Willamette Dental | $42.68 | $85.36 | $85.36 | $128.04 |
Dental (without Medical)
| Plan | Subscriber Only | Subscriber & Spouse* | Subscriber & Children | Full Family |
|---|---|---|---|---|
| DeltaCare | $45.06 | $84.59 | $84.59 | $124.12 |
| Uniform Dental Plan | $50.73 | $95.93 | $95.93 | $141.13 |
| Willamette Dental | $48.21 | $90.89 | $90.89 | $133.57 |
* Or Qualified/Washington 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.
