Self-Pay Insurance
for Faculty & Staff - 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.


2014 Rates: Effective January 1, 2014

Medical rates

Uniform Medical Plan Classic Uniform Medical Plan CDHP w/HSA Group Health Classic Group Health Value Group Health CDHP w/HSA
Subscriber Only
$551.03
$504.56
$589.19
$ 537.04
$500.69
Subscriber & Spouse/QDP
1,095.84
999.94
1,172.16
1,067.86
992.20
Subscriber & Child(ren)
959.64
890.68
1,026.42
935.16
883.91
Full Family
1,504.45
1,327.73
1,609.39
1,465.98
1,317.09

Dental rates (with medical)

Uniform Dental Plan, administered by WDS DeltaCare,
administered by WDS
Willamette Dental
Subscriber Only
$39.53
$44.72
$43.23
Subscriber & Spouse/QDP
79.06
89.44
86.46
Subscriber & Child(ren)
79.06
89.44
86.46
Full Family
118.59
134.16
129.69

Dental rates (without medical)**

Uniform Dental Plan, administered by WDS DeltaCare,
administered by WDS
Willamette Dental
Subscriber Only
$45.75
$50.94
$49.45
Subscriber & Spouse/QDP
85.28
95.66
92.68
Subscriber & Child(ren)
85.28
95.66
92.68
Full Family
124.81
140.38
135.91

*QDP = Qualified Domestic Partner

** Rates are subject to change.

 

2014 Rates

 

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Page Updated 01.09.2014