Employer group monthly premiums

Monthly rates paid by employer groups for the full benefits package or the medical only package.

Counties, municipalities, political subdivisions, and tribal government

Full benefits package premiums

Calendar year 2019

Premiums are effective January 1, 2019 through December 31, 2019. Premiums reflect how much PEBB will charge the employer. The employer determines what portion of the rates the employee pays.

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental life, LTD) during calendar year 2019. Rates differ depending on the medical plan the employee chooses. The rates are the same regardless of the number of children enrolled. The employer determines what portion of these rates the employee will pay. If an employee waives medical coverage, the employer must still pay $152.62 each month for dental, basic life, and basic long-term disability coverage.

Note: In most cases, you must live in a medical plan’s service area to join the plan. See plan service areas by county.

Plan name

Subscriber only

Subscriber and spouse1

Subscriber and child(ren)

Subscriber, spouse,1 and child(ren)

Kaiser Permanente NW Classic2

$869.30 $1,585.98 $1,406.81 $2,123.49

Kaiser Permanente NW CDHP2

$762.81 $1,367.03 $1,230.56 $1,776.46

Kaiser Permanente WA Classic

$892.04 $1,631.45 $1,446.60 $2,186.02

Kaiser Permanente WA CDHP

$759.09 $1,360.11 $1,224.44 $1,767.12

Kaiser Permanente WA SoundChoice

$761.86 $1,371.09 $1,218.78 $1,828.02
Kaiser Permanente WA Value $814.90 $1,477.19 $1,311.61 $1,973.90
Uniform Medical Plan Classic $833.50 $1,514.37 $1,344.15 $2,025.03
Uniform Medical Plan CDHP $759.19 $1,360.30 $1,224.61 $1,767.39
UMP Plus $776.72 $1,400.83 $1,244.80 $1,868.90
Medical Waived $152.62 $152.62 $152.62 $152.62

1or state-registered domestic partner
2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington and select counties in Oregon.

The following premium surcharges* will be applied to some employees:

Premium surcharge

Subscriber only

Subscriber and spouse1 Subscriber and child(ren) Subscriber, spouse1, and child(ren)

Tobacco use surcharge

$25.00

$25.00 $25.00 $25.00

Spouse Waiver (AV) surcharge

$0.00

$50.00 $0.00 $50.00

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 (2016)), which for 2019 are $12 for single subscriber, $24 for subscriber and spouse, $21 for subscriber and child(ren), and $33 for subscriber, spouse1, and child(ren) coverage. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the non‐political subdivision rates. 

Calendar year 2018

Premiums are effective January 1, 2018 through December 31, 2018. Premiums reflect how much PEBB will charge the employer. The employer determines what portion of the rates the employee pays.

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental life, LTD) during calendar year 2018. Rates differ depending on the medical plan the employee chooses. The rates are the same regardless of the number of children enrolled. The employer determines what portion of these rates the employee will pay. If an employee waives medical coverage, the employer must still pay $145.53 each month for dental, basic life, and basic long-term disability coverage.

Note: In most cases, you must live in a medical plan’s service area to join the plan. See plan service areas by county.

Plan name Subscriber Subscriber and spouse1 Subscriber and child(ren) Full family
Kaiser Permanente NW Classic2 $853.17 $1,560.81 $1,383.90 $2,091.54
Kaiser Permanente NW CDHP2 $751.38 $1,350.76 $1,215.50 $1,756.55

Kaiser Permanente WA Classic

$878.90

$1,612.27

$1,428.93

$2,162.30

Kaiser Permanente WA CDHP

$749.69

$1,347.88

$1,212.92

$1,752.78

Kaiser Permanente WA SoundChoice

$767.62

$1,389.71

$1,234.19

$1,856.28

Kaiser Permanente WA Value

$794.03

$1,442.53

$1,280.41

$1,928.91

Uniform Medical Plan Classic

$818.37

$1,491.21

$1,323.00

$1,995.84

Uniform Medical Plan CDHP

$749.42

$1,347.34

$1,212.44

$1,752.03

UMP Plus

$761.07

$1,376.61

$1,222.73

$1,838.27

Medical Waived

$145.53

$145.53

$145.53

$145.53

1or state-registered domestic partner
2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington and select counties in Oregon.

The following premium surcharges* will be applied to some employees:

Tobacco Use surcharge

$25.00

$25.00

$25.00

$25.00

Spouse Waiver (AV) surcharge

$0.00

$50.00

$0.00

$50.00

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 (2016)), which for 2018 are $20 for Single Subscriber, $40 for Subscriber and Spouse, $35 for Subscriber and Child(ren), and $55 for Subscriber, spouse1, and child(ren) coverage. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the non‐political subdivision rates.

Medical only benefits package premiums

Calendar year 2019

The following table reflects the monthly rates to be paid by employers for the medical only package (medical/vision) during calendar year 2019. The employer determines what portion of these rates the employee pays. The rates are the same regardless of the number of children enrolled. If an employee waives medical coverage, the employer pays nothing for that employee.

Plan name

Subscriber only Subscriber and spouse1

Subscriber and child(ren)

Subscriber, spouse,1 and child(ren)

Kaiser Permanente NW Classic2

$783.90

$1,500.50 $1,321.41 $2,038.09

Kaiser Permanente NW CDHP2

$677.41 $1,281.63 $1,145.16 $1,691.06

Kaiser Permanente WA Classic

$806.64

$1,546.05 $1,361.20 $2,100.62

Kaiser Permanente WA CDHP

$673.69

$1,274.71 $1,139.04 $1,681.72

Kaiser Permanente WA SoundChoice

$676.46

$1,285.69 $1,133.38 $1,742.62

Kaiser Permanente WA Value

$729.50

$1,391.79 $1,226.21 $1,888.50

Uniform Medical Plan Classic

$748.10

$1,428.97 $1,258.75 $1,939.63

Uniform Medical Plan CDHP

$673.79

$1,274.90 $1,139.21 $1,681.99
UMP Plus $691.32 $1,315.43 $1,159.40 $1,783.50

1or state-registered domestic partner

2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington and select counties in Oregon.

Premium surcharge

Subscriber Subscriber and spouse1 Subscriber and child(ren) Subscriber, spouse,1 and child(ren)

Tobacco use Surcharge

$25.00 $25.00 $25.00 $25.00
Spouse Waiver (AV) Surcharge $0.00 $50.00 $0.00 $50.00

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 (2016)), which for 2019 are $12 for single subscriber, $24 for subscriber and spouse, $21 for subscriber and child(ren), and $33 for subscriber, spouse/state-registered domestic partner, and children coverage. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the non‐political subdivision rates. 

Calendar year 2018

The following table reflects the monthly rates to be paid by employers for the medical only package (medical/vision) during calendar year 2018. The employer determines what portion of these rates the employee pays. The rates are the same regardless of the number of children enrolled. If an employee waives medical coverage, the employer pays nothing for that employee.

Plan name Subscriber Subscriber and spouse1 Subscriber and child(ren) Full family
Kaiser Permanente NW Classic2 $767.53 $1,475.17 $1,298.26 $2,005.90
Kaiser Permanente NW CDHP2 $665.74 $1,265.12 $1,129.86 $1,670.91

Kaiser Permanente WA Classic

$793.26

$1,526.63

$1,343.29

$2,076.66

Kaiser Permanente WA CDHP

$664.05

$1,262.24

$1,127.28

$1,667.14

Kaiser Permanente WA SoundChoice

$681.98

$1,304.07

$1,148.55

$1,770.64

Kaiser Permanente WA Value

$708.39

$1,356.89

$1,194.77

$1,843.27

Uniform Medical Plan Classic

$732.73

$1,405.57

$1,237.36

$1,910.20

Uniform Medical Plan CDHP

$663.78

$1,261.70

$1,126.80

$1,666.39

UMP Plus

$675.43

$1,290.97

$1,137.09

$1,752.63

The following premium surcharges* will be applied to some employees:

Tobacco Use Surcharge

$25.00

$25.00

$25.00

$25.00

Spouse Waiver (AV) Surcharge

$0.00

$50.00

$0.00

$50.00

1or state-registered domestic partner

2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington and select counties in Oregon.

These rates include the employer group rate surcharge authorized by RCW 41.05.050(2) (as amended by SB6475 (2016)), which for 2018 are $20 for single subscriber, $40 for subscriber and spouse, $35 for subscriber and child(ren), and $55 for full family coverage. The remaining difference in these rates reflects the offset from the employer group rate surcharge to the non‐political subdivision rates.

Employer group rate surcharge

Beginning January 1, 2017, all participating counties, municipalities, political subdivisions and tribal governments will incur an employer group rate surcharge that will be applied to the monthly rate for each employee enrolling in a medical plan.

The monthly employer group rate surcharge is based on the plan tier in which the employee enrolls.

For 2018, the monthly surcharge is $20 per subscriber; $40 per subscriber and spouse or state-registered domestic partner; $35 per subscriber and child(ren) and $55 per full family.

For 2019, the monthly surcharge is $12 per subscriber; $24 per subscriber and spouse or state-registered domestic partner; $35 per subscriber and child(ren) and $55 subscriber, spouse1, and child(ren).

Other PEBB employer groups

Full benefits package premiums

Calendar year 2019

Premiums are effective January 1, 2019 through December 31, 2019. Premiums reflect how much PEBB will charge the employer. The employer determines what portion of the rates the employee pays.

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental life, LTD) during calendar year 2019. Rates differ depending on the medical plan the employee chooses. The rates are the same regardless of the number of children enrolled. The employer determines what portion of these rates the employee will pay. If an employee waives medical coverage, the employer must still pay $152.62 each month for dental, basic life, and basic long-term disability coverage.

Note: In most cases, you must live in a medical plan’s service area to join the plan. See plan service areas by county.

Plan name

Subscriber only Subscriber and spouse1

Subscriber and child(ren)

Subscriber, spouse,1 and child(ren)

Kaiser Permanente NW Classic2

$857.30

$1,561.98 $1,385.81 $2,090.49

Kaiser Permanente NW CDHP2

$750.81 $1,343.03 $1,209.56 $1,743.46

Kaiser Permanente WA Classic

$880.04 $1,607.45 $1,425.60 $2,153.02

Kaiser Permanente WA CDHP

$747.09

$1,336.11 $1,203.44 $1,734.12

Kaiser Permanente WA SoundChoice

$749.86

$1,347.09 $1,197.78 $1,795.02

Kaiser Permanente WA Value

$802.90

$1,453.19 $1,290.61 $1,940.90

Uniform Medical Plan Classic

$821.50

$1,490.37 $1,323.15 $1,992.03

Uniform Medical Plan CDHP

$747.19

$1,336.30 $1,203.61 $1,734.39

UMP Plus

$764.72

$1,376.83 $1,223.80 $1,835.90
Medical Waived $152.62 $152.62 $152.62 $152.62

 1or state-registered domestic partner
2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington and select counties in Oregon.

The following premium surcharges** will be applied to some employees:

  Subscriber only Subscriber and spouse Subscriber and children Subscriber, spouse,1 and child(ren)

Tobacco use surcharge

$25.00

$25.00 $25.00 $25.00

Spouse waiver (AV) surcharge

$0.00 $50.00

$0.00

$50.00

 

Calendar year 2018

Premiums are effective January 1, 2018 through December 31, 2018. Premiums reflect how much PEBB will charge the employer. The employer determines what portion of the rates the employee pays.

The following table reflects the monthly rates to be paid by employers for the full benefits package (medical/vision, dental life, LTD) during calendar year 2018. Rates differ depending on the medical plan the employee chooses. The rates are the same regardless of the number of children enrolled. The employer determines what portion of these rates the employee will pay. If an employee waives medical coverage, the employer must still pay $145.53 each month for dental, basic life, and basic long-term disability coverage.

Note: In most cases, you must live in a medical plan’s service area to join the plan. See plan service areas by county.

Plan name Subscriber Subscriber and spouse1 Subscriber and child(ren) Full family
Kaiser Permanente NW Classic2 $833.17 $1,520.81 $1,348.90 $2,036.54
Kaiser Permanente NW CDHP2 $731.38 $1,310.76 $1,180.50 $1,701.55

Kaiser Permanente WA Classic

$858.90

$1,572.27

$1,393.93

$2,107.30

Kaiser Permanente WA CDHP

$729.69

$1,307.88

$1,177.92

$1,697.78

Kaiser Permanente WA SoundChoice

$747.62

$1,349.71

$1,199.19

$1,801.28

Kaiser Permanente WA Value

$774.03

$1,402.53

$1,245.41

$1,873.91

Uniform Medical Plan Classic

$798.37

$1,451.21

$1,288.00

$1,940.84

Uniform Medical Plan CDHP

$729.42

$1,307.34

$1,177.44

$1,697.03

UMP Plus

$741.07

$1,336.61

$1,187.73

$1,783.27

Medical Waived

$145.53

$145.53

$145.53

$145.53

The following premium surcharges** will be applied to some employees:

Tobacco Use Surcharge

$25.00

$25.00

$25.00

$25.00

Spouse Waiver (AV) Surcharge

$0.00

$50.00

$0.00

$50.00

1or state-registered domestic partner
2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington and select counties in Oregon.

Medical only benefits package premiums (non-surcharge tiered)

Calendar year 2019

The following table reflects the monthly rates to be paid by employers for the medical only package (medical/vision) during calendar year 2019. The employer determines what portion of these rates the employee pays. The rates are the same regardless of the number of children enrolled. If an employee waives medical coverage, the employer pays nothing for that employee.

Plan name

Subscriber only Subscriber and spouse1

Subscriber and children

Subscriber, spouse,1 and child(ren)

Kaiser Permanente NW Classic2

$771.90

$1,476.58 $1,300.41 $2,005.09

Kaiser Permanente NW CDHP2

$665.41 $1,257.63 $1,124.16 $1,658.06

Kaiser Permanente WA Classic

$794.64 $1,522.05 $1,340.20 $2,067.62

Kaiser Permanente WA CDHP

$661.69

$1,250.71 $1,118.04 $1,648.72

Kaiser Permanente WA SoundChoice

$664.46

$1,261.69 $1,112.38 $1,709.62

Kaiser Permanente WA Value

$717.50 $1,367.79 $1,205.21 $1,855.50

Uniform Medical Plan Classic

$736.10

$1,404.97 $1,237.75 $1,906.63

Uniform Medical Plan CDHP

$661.79 $1,250.90 $1,118.21 $1,648.99
UMP Plus $679.32 $1,291.43 $1,138.40 $1,750.50

 1or state-registered domestic partner
2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington and select counties in Oregon.

The following premium surcharges** will be applied to some employees:

 

Subscriber only Subscriber and spouse1 Subscriber and child(ren) Subscriber, spouse,1 and child(ren)

Tobacco use surcharge

$25.00

$25.00 $25.00 $25.00
Spouse waiver (AV) surcharge $0.00 $50.00 $0.00 $50.00

 

Calendar year 2018

The following table reflects the monthly rates to be paid by employers for the medical only package (medical/vision) during calendar year 2018. The employer determines what portion of these rates the employee pays. The rates are the same regardless of the number of children enrolled. If an employee waives medical coverage, the employer pays nothing for that employee.

Plan name Subscriber Subscriber and spouse1 Subscriber and child(ren) Full family
Kaiser Permanente NW Classic2 $747.53 $1,435.17 $1,263.26 $1,950.90
Kaiser Permanente NW CDHP2 $645.74 $1,225.12 $1,094.86 $1,615.91

Kaiser Permanente WA Classic

$773.26

$1,486.63

$1,308.29

$2,021.66

Kaiser Permanente WA CDHP $644.05 $1,222.24 $1,092.28 $1,612.14

Kaiser Permanente WA SoundChoice

$661.98

$1,264.07

$1,113.55

$1,715.64

Kaiser Permanente WA Value

$688.39

$1,316.89

$1,159.77

$1,788.27

Uniform Medical Plan Classic

$712.73

$1,365.57

$1,202.36

$1,855.20

Uniform Medical Plan CDHP

$643.78

$1,221.70

$1,091.80

$1,611.39

UMP Plus

$655.43

$1,250.97

$1,102.09

$1,697.63

The following premium surcharges** will be applied to some employees:

Tobacco Use Surcharge

$25.00

$25.00

$25.00

$25.00

Spouse Waiver (AV) Surcharge

$0.00

$50.00

$0.00

$50.00

1or state-registered domestic partner
2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in Washington and select counties in Oregon.

Monthly billing

The PEBB Program bills employer groups monthly. You will get an invoice around the 26th of each month before the month of coverage. Payment in-full is due by the 20th of the month of coverage. For example, you will get an invoice around May 26 for June coverage. Payment in-full for June coverage is due by June 20.

Surcharges in addition to medical plan premiums

Employees may have to pay monthly surcharges in addition to the medical plan premium.

Contact

Phone: 1-800-700-1555