COBRA monthly rates for 2024
Please note: The rates for “spouse” medical coverage only apply when the employee also elects COBRA. If the employee is not enrolled, the spouse will be billed the “employee” rate instead. Similarly, if an adult is not enrolled in COBRA coverage, any children will be billed the “employee” rate.
Regence Blue Shield and Asuris Northwest Health
|
|
HealthFirst® 250
|
HealthFirst® 500
|
HDHP/HSA
|
Accountable Health Network
|
|
Employee
|
925.98
|
870.18
|
643.91
|
884.10
|
|
Employee & spouse
|
1,859.68
|
1,748.61
|
1,295.73
|
1,775.66
|
|
Employee, spouse + one child
|
2,319.64
|
2,180.37
|
1,622.58
|
2,214.87
|
|
Employee, spouse + two children (full family)
|
2,699.92
|
2,539.21
|
1,890.18
|
2,577.95
|
|
Employee + one child
|
1,385.94
|
1,301.95
|
970.75
|
1,323.31
|
|
Employee + two children
|
1,766.21
|
1,660.78
|
1,238.38
|
1,686.39
|
|
No additional charge for three or more children.
|
Kaiser Permanente
|
|
$20 copay/$200 deductible
|
$20 copay/$500 deductible
|
HDHP/HSA
|
Access PPO
|
|
Employee
|
820.90
|
759.35
|
683.03
|
908.94
|
|
Employee & spouse
|
1,628.14
|
1,506.01
|
1,352.34
|
1,803.28
|
|
Employee, spouse + one child
|
2,040.06
|
1,887.06
|
1,694.38
|
2,259.46
|
|
Employee, spouse + two children (full family)
|
2,451.98
|
2,268.09
|
2,036.43
|
2,715.65
|
|
Employee + one child
|
1,232.81
|
1,140.40
|
1,025.08
|
1,365.13
|
|
Employee + two children
|
1,644.73
|
1,521.43
|
1,367.13
|
1,821.31
|
|
No additional charge for three or more children.
|
Vision Service Plan
|
|
No copay plan
|
$10 copay
|
$25 copay
|
$10/$15 copay
|
|
Employee
|
11.18
|
9.73
|
7.87
|
6.22
|
|
Employee + 1
|
22.36
|
19.44
|
15.75
|
12.44
|
|
Employee + 2 or more
|
33.54
|
29.15
|
23.62
|
18.67
|
|
|
No copay plan w/2nd pair
|
$10 copay w/2nd pair
|
$25 copay w/2nd pair
|
|
Employee
|
12.26
|
10.79
|
8.96
|
|
Employee + 1
|
24.52
|
21.60
|
17.91
|
|
Employee + 2 or more
|
36.78
|
32.40
|
26.87
|
Delta Dental of Washington
|
Dental
|
Plan A
|
Plan B
|
Plan C
|
Plan D
|
Plan E
|
Plan F
|
Plan G
|
Plan J
|
|
Employee
|
54.90
|
48.39
|
39.56
|
50.96
|
50.65
|
57.00
|
55.81
|
58.94
|
|
Employee + 1
|
104.24
|
90.03
|
76.17
|
107.57
|
94.17
|
107.79
|
105.59
|
111.47
|
|
Employee + 2 or more
|
164.65
|
148.39
|
124.54
|
159.26
|
154.86
|
168.73
|
174.54
|
174.48
|
|
Orthodontia
|
Plan I
|
Plan II
|
Plan III
|
Plan IV
|
Plan V
|
|
Employee
|
0.00
|
0.00
|
1.29
|
0.00
|
2.55
|
|
Employee + 1
|
0.16
|
0.43
|
3.18
|
1.08
|
5.92
|
|
Employee + 2 or more
|
10.08
|
20.13
|
22.66
|
36.15
|
40.60
|
Willamette Dental Service
|
|
Plan 1 – 10 copay
|
Plan 2 – 15 copay
|
|
Employee
|
65.61
|
50.16
|
|
Employee + 1
|
122.91
|
96.74
|
|
Employee + 2 or more
|
195.76
|
159.57
|
ComPsych Employee Assistance Program
If you have any Trust benefits (listed above), the 1-3 session model of the Employee Assistance Program (EAP) is included without paying the additional premium listed below. If you have no other Trust benefits, and you were previously covered under the EAP, the below rates apply. If your previous employer purchased the 1-5 or 1-8 session buy-up option, the below buy-up plan rates apply.
|
1-3 session model
|
1.52
|
|
1-5 session model
|
1.68
|
|
1-8 session model
|
1.79
|
|
Buy up plans
|
|
Buy-up option 1-5 session model
|
0.16
|
|
Buy-up option 1-8 session model
|
0.27
|
View a printable version of all the Trust's COBRA rates