Full benefits package premiums
- 2023
- Premiums are effective January 1, 2023 through December 31, 2023. Premiums reflect how much PEBB will charge the employer. The employer determines what portion of the rates the employee pays.
Medical plan
|
Subscriber
|
Subscriber and spouse/SRDP
|
Subscriber and children
|
Subscriber, spouse/SRDP, and children
|
---|
Kaiser Permanente NW1Â Classic
|
$926.32
|
$1,763.15
|
$1,553.94
|
$2,390.77
|
---|
Kaiser Permanente NW1Â Consumer-Directed Health Plan (CDHP)
|
$784.95
|
$1,478.63
|
$1,319.79
|
$1,955.14
|
---|
Kaiser Permanente WA Classic
|
$921.12
|
$1,752.75
|
$1,544.84
|
$2,376.47
|
---|
Kaiser Permanente WA CDHP
|
$784.43
|
$1,477.59
|
$1,318.88
|
$1,953.71
|
---|
Kaiser Permanente WA SoundChoice
|
$800.18
|
$1,510.87
|
$1,333.20
|
$2,043.89
|
---|
Kaiser Permanente WA Value
|
$848.64
|
$1,607.79
|
$1,418.00
|
$2,177.15
|
---|
Uniform Medical Plan (UMP) Classic
|
$889.91
|
$1,690.33
|
$1,490.23
|
$2,290.65
|
---|
UMP Select
|
$813.68
|
$1,537.87
|
$1,356.82
|
$2,081.01
|
---|
UMP CDHP
|
$788.97
|
$1,486.67
|
$1,326.83
|
$1,966.20
|
---|
UMP Plus–Puget Sound High Value Network
|
$851.50
|
$1,613.51
|
$1,423.01
|
$2,185.02
|
---|
UMP Plus–UW Medicine Accountable Care Network
|
$851.50
|
$1,613.51
|
$1,423.01
|
$2,185.02
|
---|
Medical waived
|
$89.49
|
$89.49
|
$89.49
|
$89.49
|
---|
Surcharges in addition to medical plan premiums
Employees may have to pay monthly surcharges in addition to the medical plan premium.
Surcharge
|
Subscriber only
|
Subscriber and spouse/SRDP |
Subscriber and children |
Subscriber, spouse/SRDP, and children
|
---|
Tobacco use surcharge
|
$25.00
|
$25.00 |
$25.00 |
$25.00 |
Spouse waiver (AV) surcharge
|
$0.00
|
$50.00 |
$0.00 |
$50.00 |