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Oregon Health Authority

Premium Share

PEBB does not determine premium share. Premium share is determined by collective bargaining or by the employer agency. We provide this information for employees a courtesy. Contact your agency or university benefits office for information about your premium share.

Employees pay a percentage share of premium for core benefits; the employer pays the balance. Premium share may vary depending on the employing agency or university.

The same percentage premium share you pay for medical coverage applies to enrollment in other core benefits – dental, vision and employee basic life coverage. Higher-cost medical plans have higher employee premium share.

The higher-cost plans with higher premium share are both the full-time and part-time Kaiser Traditional HMO and Providence Statewide PPO medical plans. The lower-cost plans with lower premium share are the following full-time and part-time medical plans: Kaiser Deductible, Moda Synergy, and Providence Choice. At least one higher-cost and one lower-cost plan is available in each Oregon county.

Example for Full-time employees of Executive Branch agencies
Full-time plans are available to full-time employees. Your employer pays a premium subsidy if you enroll in a part-time plan, but not a full-time plan. You pay 5% of the total premium if you enroll in either of the two higher cost plans – Providence Statewide or Kaiser Traditional HMO. If you enroll in any other full-time plan – all of which have lower cost – your premium share is 1%.

Example for Part-time employees of Executive Branch agencies
Both full-time and part-time plans are available to part-time employees. You pay either 5% or 1% of the total premium based on the medical plan you choose, and you pay any premium balance remaining after the employer pays its premium share based on your hours of work each month. Your premium share in the full-time or part-time Providence Statewide or Kaiser Traidtional HMO plan is 5%. Your premium share in any other full-time or part-time plans is 1%. Remember that if you enroll in a part-time medical plan, you also receive a flat subsidy.

Use the Premium Estimator Tool to get an estimate of your monthly benefit costs.