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2012 Dental Plan Premium Rates
Employee Rates
2012 Employee Dental Plan Monthly Premium Rates
 
Employees
Employee & Spouse/Partner
Employee & Children
Employee & Family
ODS Preferred 1
$75.08
$100.60
$86.33
$102.86
ODS Traditional 2
81.27
108.91
93.47
111.35
Kaiser Permanente 3
75.61
101.31
86.96
103.58
Willamette Dental Group
75.08
100.61
86.34
102.86
ODS Part-time5
58.48
78.36
67.26
80.13
Kaiser Permanente Part-time6
56.35
75.50
64.80
77.21
1 Available to PEBB eligible full-time and part-time employees.
2 Available to PEBB eligible full-time and part-time employees.
3 Available to PEBB eligible full-time and part-time employees in plan service area.
5 Additional option available to eligible part-time employees in plan service area.
6 Additional option available to eligible part-time employees; in plan facilities.


Retiree Rates
 
2012 Retiree Dental Plan Monthly Premium Rates

Retiree
Retiree & Spouse/Partner
Retiree & Children
Retiree & Family
ODS Preferred 1
$75.53
$101.20
$86.85
$103.47
ODS Traditional 2
81.76
109.56
94.03
112.02
Kaiser Permanente 3
76.06
101.92
87.48
104.20
Willamette Dental Group4
75.53
101.21
86.86
103.47
ODS Part-Time 5
58.83
78.83
67.66
80.61
Kaiser Permanente Part-Time 6
56.69
75.95
65.19
77.67
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.

COBRA Rates
2012 COBRA Participant Dental Plan Monthly Premium Rates
 
Self
Self & Spouse/Partner
Self &     Children
Self & Family
Child(ren) Only7
ODS Preferred 1
$76.57
$102.60
$88.05
$104.91
$39.83
ODS Traditional 2
82.89
111.08
95.33
113.57
43.09
Kaiser Permanente 3
77.12
103.33
88.69
105.65
40.11
Willamette Dental Group4
76.57
102.62
88.06
104.91
39.82
ODS Part-time 5
59.65
79.92
68.60
81.73
31.02
Kaiser Permanente Part-time 6
57.48
77.00
66.09
78.75
29.89
1 Available to PEBB eligible individuals.
2 Available to PEBB eligible individuals.
3 Available to PEBB eligible individuals in plan service area.
4 Available to PEBB eligible individuals; in plan facilities.
5 Additional option available to PEBB eligible individuals.
6 Additional option available to PEBB eligible individuals; in plan service area.
7 Child(ren) Only coverage is available only to COBRA & Retiree participants.