Continuation coverage (formerly LWOP) premiums

Find out the monthly cost of your continuation coverage (formerly LWOP) insurance plans.

2017 Medical plan premiums

Members not eligible for Medicare (or enrolled in Part A only) Subscriber only Subscriber and spouse* Subscriber and child(ren) Full family
Group Health Classic $676.52 $1,348.32 $1,180.37 $1,852.17
Group Health CDHP 563.28 1,115.34 991.91 1,485.64
Group Health SoundChoice 575.80 1,146.88 1,004.11 1,575.19
Group Health Value 598.81 1,192.90 1,044.38 1,638.47
Kaiser Permanente Classic 661.10 1,317.48 1,153.39 1,809.77
Kaiser Permanente CDHP 564.83 1,117.94 994.25 1,489.03
UMP Classic 623.65 1,242.58 1,087.85 1,706.78
UMP CDHP 562.91 1,114.60 991.26 1,484.62
UMP Plus-Puget Sound High Value Network 595.49 1,186.26 1,038.57 1,629.34
UMP Plus-UW Medicine Accountable Care Network 595.49 1,186.26 1,038.57 1,629.34

*or state-registered domestic partner

Dental plan premiums (with medical plan)

  DeltaCare Uniform Dental Plan Willamette Dental Group
Subscriber only $39.53 $45.07 $42.37
Subscriber and spouse* 79.06 90.14 84.74
Subscriber and child(ren) 79.06 90.14 84.74
Full family 118.59 135.21 127.11

*or state-registered domestic partner

Dental plan premiums (dental only)

  DeltaCare Uniform Dental Plan Willamette Dental Group
Subscriber only $44.25 $49.79 $47.09
Subscriber and spouse* 83.78 94.86 89.46
Subscriber and child(ren) 83.78 94.86 89.46
Full family 123.31 139.93 131.83

*or state-registered domestic partner

Before you enroll

  1. Make sure you live in the plan's service area.
  2. Contact the plan or check the plan's provider directory to make sure your providers are in the plan's network.

Surcharges in addition to medical plan premiums

You will pay the following surcharges in addition to your medical plan premium if they apply to you.

  • A monthly $25-per-account surcharge will apply if you or any family member enrolled in PEBB medical coverage uses tobacco products.
  • A monthly $50 surcharge will apply if you enroll your spouse or registered domestic partner in PEBB medical coverage and your spouse or domestic partner has chosen not to enroll in other employer-based group medical insurance that is comparable to Uniform Medical Plan (UMP) Classic.