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 spouse1 Subscriber and child(ren) Full family
Kaiser Permanente WA Classic (formerly Group Health Classic) $676.52 $1,348.32 $1,180.37 $1,852.17
Kaiser Permanente WA CDHP (formerly Group Health CDHP) $563.28 $1,115.34 $991.91 $1,485.64
Kaiser Permanente WA SoundChoice (formerly Group Health SoundChoice) $575.80 $1,146.88 $1,004.11 $1,575.19
Kaiser Permanente WA Value (formerly Group Health Value) $598.81 $1,192.90 $1,044.38 $1,638.47
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
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

1 or state-registered domestic partner
2 Kaiser 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 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.