| 2007 PEBB Retiree Medical and Dental Plans Monthly Premium Rates |
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2007 Retiree Medical Plan Monthly Premium Rates
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Retiree
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Retiree & Spouse/Partner
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Retiree & Children
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Retiree & Family
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Kaiser Permanente HMO 1
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677.42
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907.73
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779.03
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928.06
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Kaiser Permanente Added Choice POS 2
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710.90
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952.61
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817.55
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973.95
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Providence Choice PPO 3
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662.85
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888.22
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762.29
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908.11
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Regence BCBSO PPO 3
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738.49
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989.48
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849.21
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1011.62
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Samaritan Select PPO 3
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667.65
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894.65
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767.80
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914.68
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Kaiser Permanente Part-time & Retiree HMO 4
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574.87
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770.31
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661.11
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787.55
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Kaiser Permanente Added Choice Part-time & Retiree POS 4
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575.89
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771.69
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662.27
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788.96
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ProvidenceChoice Part-time & Retiree PPO 5
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529.07
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708.94
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608.42
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724.82
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Regence BCBSO Part-time & Retiree PPO 5
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593.12
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794.69
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682.05
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812.51
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Samaritan Select Part-time & Retiree PPO 5
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537.47
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720.21
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618.08
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736.33
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1 Kaiser Permanente HMO routine vision services.
2 Kaiser Permanente HMO Tier 1 vision services.
3 Vision services through VSP.
4 Routine vision exam only.
5 No routine vision benefit.
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2007 Retiree Dental Plan Monthly Premium Rates
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Retiree
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Retiree & Spouse/Partner
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Retiree & Children
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Retiree & Family
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Kaiser Permanente
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88.97
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119.23
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102.31
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121.89
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ODS Preferred
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61.70
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82.68
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70.95
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84.53
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ODS Traditional
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66.80
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89.51
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76.82
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91.52
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Willamette Dental Group
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62.30
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83.48
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71.64
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85.35
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ODS Part-time & Retiree
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48.06
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64.41
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55.28
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65.86
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