COBRA and continuation coverage premiums (non-Medicare)

Find out the monthly cost of your non-Medicare COBRA and 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 spouse1 Subscriber and child(ren) Full family
Kaiser Permanente NW Classic2 $661.10 $1,317.48 $1,153.39 $1,809.77
Kaiser Permanente NW CDHP2 $564.83 $1,117.94 $994.25 $1,489.03
Kaiser Permanente WA (formerly Group Health) Classic $676.52 $1,348.32 $1,180.37 $1,852.17
Kaiser Permanente WA (formerly Group Health) CDHP $563.28 $1,115.34 $991.91 $1,485.64
Kaiser Permanente WA (formerly Group Health) SoundChoice $575.80 $1,146.88 $1,004.11 $1,575.19
Kaiser Permanente WA (formerly Group Health) Value $598.81 $1,192.90 $1,044.38 $1,638.47
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-PSHVN $595.49 $1,186.26 $1,038.57 $1,629.34
UMP Plus-UW Medicine ACN 595.49 1,186.26 1,038.57 $1,629.34

1or state-registered domestic partner
2Kaiser Foundation Health Plan of the Northwest, with plans offered in Clark and Cowlitz counties in WA, and the Portland, OR area.

Dental plan premiums (with medical plan)

  DeltaCare Uniform Dental Plan Willamette Dental Group
Subscriber only $39.53 $45.07 $42.37
Subscriber and spouse1 $79.06 $90.14 $84.74
Subscriber and child(ren) 79.06 $90.14 $84.74
Full family $118.59 $135.21 $127.11

1or 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 spouse1 $83.78 $94.86 $89.46
Subscriber and child(ren) $83.78 $94.86 $89.46
Full family $123.31 $139.93 $131.83

1or 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 (age 13 and older) enrolled in PEBB medical uses tobacco products.
  • A monthly $50 surcharge will apply if you enroll your spouse or state-registered domestic partner in PEBB medical and your spouse or state-registered domestic partner has chosen not to enroll in other employer-based group medical that is comparable to Uniform Medical Plan (UMP) Classic.

For more details, visit Surcharges.