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2012 Dental Plan Premium Rates
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Article Content
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| Employee Rates |
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2012 Employee Dental Plan Monthly Premium Rates
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Employees
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Employee & Spouse/Partner
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Employee & Children
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Employee & Family
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ODS Preferred 1
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$75.08
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$100.60
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$86.33
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$102.86
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ODS Traditional 2
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81.27
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108.91
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93.47
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111.35
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Kaiser Permanente 3
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75.61
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101.31
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86.96
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103.58
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Willamette Dental Group
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75.08
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100.61
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86.34
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102.86
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ODS Part-time5
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58.48
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78.36
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67.26
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80.13
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Kaiser Permanente Part-time6
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56.35
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75.50
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64.80
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77.21
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1 Available to PEBB eligible full-time and part-time employees.
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2 Available to PEBB eligible full-time and part-time employees.
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3 Available to PEBB eligible full-time and part-time employees in plan service area.
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5 Additional option available to eligible part-time employees in plan service area.
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6 Additional option available to eligible part-time employees; in plan facilities.
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| Retiree Rates |
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2012 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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ODS Preferred 1
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$75.53
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$101.20
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$86.85
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$103.47
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ODS Traditional 2
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81.76
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109.56
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94.03
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112.02
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Kaiser Permanente 3
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76.06
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101.92
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87.48
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104.20
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Willamette Dental Group4
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75.53
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101.21
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86.86
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103.47
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ODS Part-Time 5
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58.83
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78.83
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67.66
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80.61
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Kaiser Permanente Part-Time 6
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56.69
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75.95
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65.19
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77.67
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1 Available to PEBB eligible retirees.
2 Available to PEBB eligible retirees.
3 Available to PEBB eligible retirees in plan service area.
4 Additional option available to eligible retirees; in plan facilities.
5 Additional option available to eligible retirees.
6 Additional option available to eligible retirees in plan service area.
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| COBRA Rates |
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2012 COBRA Participant Dental Plan Monthly Premium Rates
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Self
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Self & Spouse/Partner
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Self & Children
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Self & Family
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Child(ren) Only7
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ODS Preferred 1
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$76.57
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$102.60
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$88.05
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$104.91
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$39.83
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ODS Traditional 2
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82.89
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111.08
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95.33
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113.57
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43.09
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Kaiser Permanente 3
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77.12
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103.33
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88.69
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105.65
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40.11
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Willamette Dental Group4
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76.57
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102.62
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88.06
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104.91
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39.82
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ODS Part-time 5
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59.65
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79.92
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68.60
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81.73
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31.02
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Kaiser Permanente Part-time 6
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57.48
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77.00
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66.09
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78.75
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29.89
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1 Available to PEBB eligible individuals.
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2 Available to PEBB eligible individuals.
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3 Available to PEBB eligible individuals in plan service area.
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4 Available to PEBB eligible individuals; in plan facilities.
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5 Additional option available to PEBB eligible individuals.
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6 Additional option available to PEBB eligible individuals; in plan service area.
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7 Child(ren) Only coverage is available only to COBRA & Retiree participants.
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