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Self-Pay Insurance
for Faculty, Staff & Librarians — Self-Pay Rates

These rates are for employees in a leave-without-pay (LWOP) or reduction-in-force (RIF) situation. Medicare rates are not available to these subscribers.

Medical rates

2008 Medical Plans Employee Employee & Spouse/QDP* Employee & Child(ren) Full Family
Aetna Public Employees Plan $484.32 $957.20 $838.98 $1,311.86
Group Health Classic 454.89 898.34 787.48 1,230.93
Group Health Value 400.19 788.94 691.75 1,080.50
Kaiser Permanente Classic 481.87 952.30 834.69 1,305.12
Kaiser Permanente Value 439.15 866.86 759.93 1,187.64
Uniform Medical Plan 408.76 806.08 706.75 1,104.07

Dental rates (with medical)

2008 Dental Plans Subscriber Only Subscriber
& Spouse/QDP*
Subscriber
& Child(ren)
Full Family
DeltaCare, administered by Washington Dental Service $35.19 $70.38 $70.38 $ 105.57
Willamette Dental of Washington 35.20 70.40 70.40 105.60
Uniform Dental Plan 40.01 80.02 80.02 120.03

Dental rates (without medical)

2008 Dental Plans Subscriber Only Subscriber
& Spouse/QDP*
Subscriber
& Child(ren)
Full Family
DeltaCare, administered by Washington Dental Service $46.63 $81.82 $81.82 $117.01
Willamette Dental of Washington 46.64 81.84 81.84 117.04
Uniform Dental Plan 51.45 91.46 91.46 131.47

*QDP = Qualified Domestic Partner

Leave/Layoff
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