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Licensed Retirees and Licensed COBRA Insurance Rates

Effective 10/1/2012 - 9/30/2013

2012-13 Rates

Plans 1-party 2-party Empl&chldrn Emp&Family
Medical Plans        
ODS Medical Plan 3 with Pharmacy Plan B $701.29 $1,542.83 $1,332.48 $2,174.03
ODS Medical Plan 5 with Pharmacy Plan B $581.76 $1,279.93 $1,105.39 $1,803.52
ODS Medical Plan 6 with Pharmacy Plan B $526.58 $1,158.46 $1,000.51 $1,632.41
ODS Medical Plan 7 with Pharmacy Plan B $479.92 $1055.85 $911.85 $1,487.78
ODS Medical Plan 9 with Pharmacy Plan B $317.98 $699.57 $604.18 $985.75
         

Dental Plans

       
ODS Dental Plan 1 with orthodontia $60.40 $119.64 $133.05 $197.03
ODS Dental Plan 4 with orthodontia $49.62 $98.29 $111.38 $163.92
Willamette Dental - Plan 8 with orthodontia $40.51 $80.22 $85.36 $128.29
         
Vision Plan        
Vision Plan 1 $10.58 $23.31 $20.12 $32.82
Vision Plan 3 $15.68 $34.51 $29.81 $48.61



For complete coverage, select one medical plan, one dental plan,
and the vision plan. Or, select just the components you want.

For more information about plans, go to:  http://www.oregon.gov/DAS/OEBB

printable version: 2012-2013 Licensed Retirees Insurance rates (.pdf)