HomeMy WebLinkAbout72-18 - Res. Amending Res. 02-18 Determining the County's 2019 Health Insurance Contributions RESOLUTION NO. 7 "1
AMEND RESOLUTION NO. 02-18 DETERMINING THE COUNTY'S
2019 HEALTH INSURANCE CONTRIBUTIONS
WHEREAS, RCW 36.40.080 states that the Board of County Commissioners shall fix and determine each
item of the budget separately and shall by resolution adopt the budget; and
WHEREAS, RCW 36.16.070 states that the Board shall fix the benefit compensation of all employees; and
WHEREAS, the Board has determined that the County's contribution towards health insurance
premiums for Elected Officials, eligible Non-Represented employees, and any Collective Bargaining
Agreement (General Services & Probation) in place, but not ratified on January 1, 2019, shall remain at
the 2018 contribution amount of $1,206 (One thousand two hundred and six dollars) per month, and
also as applicable and required by the Collective Bargaining Agreements (Community Family Health,
Deputy Prosecutors, and Public Defenders) in place and ratified on that date should be adjusted to
$1,258 (One thousand two hundred fifty eight dollars) per month; and
WHEREAS, the Board has determined that the County's contribution towards health insurance
premiums for Elected Officials, eligible Non-Represented employees, and also those members of the
Collective Bargaining Agreements who participate in PEBB medical insurance to utilize the pooling
method; and
NOW THEREFORE BE IT RESOLVED, effective January 1, 2019, the Board of County Commissioners does
hereby establish the County's health insurance contribution rate for Elected Officials, eligible Non-
Represented Employees, and any Collective Bargaining Agreement (General Services & Probation) in
place, but not ratified on January 1, 2019 utilizing the pooling method, and resulting in a distribution as
follows:
$937.58 per month per Elected Official/Employee for those individuals enrolled in PEBB medical
as an employee only (no dependent coverage). This contribution also covers dental, vision, and
basic life insurance.
$1,369.10 per month per Elected Official/Employee for those individuals enrolled in PEBB
medical as an employee with one or more dependents. This contribution also covers dental,
vision, and basic life insurance.
NOW THEREFORE BE IT RESOLVED, effective January 1, 2019, the Board of County Commissioners does
hereby establish the County's health insurance contribution rate for any Collective Bargaining
Agreements (Community Family Health, Deputy Prosecutors, and Public Defenders) in place and ratified
on January 1, 2019 utilizing the pooling method, and resulting in a distribution as follows:
$937.58 per month per Employee for those individuals enrolled in PEBB medical as an employee
only (no dependent coverage). This contribution also covers dental, vision, and basic life
insurance.
$1,421.10 per month per Employee for those individuals enrolled in PEBB medical as an
employee with one or more dependents. This contribution also covers dental, vision, and basic
life insurance.
kAresolutions\salary&medical\resolution health insurance$1258 for 2019 11062018.doc
Approved thiso?d day of 1J6WWber 2018
BOARD OF COUNTY COMMISSIONERS
Rand Neath/e�rlin, Chairperson
V4L
Terri Drexler, Com issioner
1k:
Kevin Shutty, Co missioner
Attest:
Mellss rewry, Clerk of the Board
Approved as to Form:
Tim Whitehead, Chief Deputy Prosecutor
cc: Financial Services, Payroll
Human Resources
All Elected Officials and Department Heads
k:Vesolutionslsalary&medical\resolution health insurance$1258 for 2019 11062018.doc
11/20/18
2019 MEDICAL AND DENTAL BENEFIT RATES
MASON COUNTY TEAMSTERS,WCIF AND NELSON TURST
Please note:County contribution amounts are subject to change in accordance with any memorandum of understanding,collective bargaining
agreement,or resolution. Official changes in contribution levels for 2019 is approved by Resolution 72-18.
TEAMSTERS/OPERATORS PUBLIC WORKS
$1,229.50 Teamster's Plan B Medical or Group Health Options(both Composite Premiums)
$ 18.00 Weekly Time Loss of$400(up to 180 days)
$ 11.40 9-Month Waiver(Trust will pay up to 9 months of medical premiums for eligible disability)
$ 130.94 WDS Dental,VSP Vision&Standard Basic Life with WCIF. Willamette members reduce by$6.75
$1,389.84 GRAND TOTAL MONTHLY PREMIUM
$1,206.00 County Contribution
$ 183.84 TOTAL EMPLOYEE OUT OF POCKET
TEAMSTERS APPRAISERS
$1,229.50 Teamster's Plan B Medical or Group Health Options(both Composite Premiums)
$ 3.00 Weekly Time Loss of$100(up to 180 days)
$ 130.94 WDS Dental,VSP Vision&Standard Basic Life with WCIF. Willamette members reduce by$6.75
$1,363.44 GRAND TOTAL MONTHLY PREMIUM
$1.206,00 County Contribution
$ 157.44 TOTAL EMPLOYEE OUT OF POCKET
TEAMSTERS JUVENILE DETENTION
$1,229.50 Teamster's Plan B Medical or Group Health Options(both Composite Premiums)
$ 6.00 Weekly Time Loss of$200(up to 180 days)
$ 130.94 WDS Dental,VSP Vision&Standard Basic Life with WCIF. Willamette members reduce by$6.75
$1,366.44 GRAND TOTAL MONTHLY PREMIUM
$1.206.00 County Contribution
$ 160.44 TOTAL EMPLOYEE OUT OF POCKET
AFSCME
ENGINEERS GUILD
$1,229.50 Teamster's Plan B Medical or Group Health Options(both Composite Premiums)
$ 130.94 WDS Dental,VSP Vision&Standard Basic Life with WCIF. Willamette members reduce by$6.75
$1,360.44 GRAND TOTAL MONTHLY PREMIUM
$1,258.00 County Contribution
$ 102.44 TOTAL EMPLOYEE OUT OF POCKET
IWA CORRECTIONS AND SUPPORT STAFF
$1.123.00 The Nelson Trust(Dental through Moda Health,VSP vision,and Basic Life and AD&D)
$1,123.00 GRAND TOTAL MONTHLY PREMIUM
$1.206.00 County Contribution
$ 0.00 TOTAL EMPLOYEE OUT OF POCKET
k:\benefits\medical rate sheets\2019\2019 teamsters medical&dental benefit rates approved 11202018.docx
PUBUC DEFENDERS AND COMMUNITY FAMILY HEALTH TEAMSTERS EMPLOYEES
PEBB-Medical and Dental 2019
The County premium contribution using the pooling method approved by Resolution 72-18.All pooled @ 2019 rate of$1258
Copays Annual Deductibles Max out-of-pocket Employee EE/Spouse EE/Children Full Family
Kaiser Permanente WA PREMIUM $892.04 $1,631.45 $1,446.60 $2,186.02
(Group Health Classic) $15 Primary Care $175/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
$30 Specialist $525/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None $210.35 $25.50 $764.92
Kaiser Permanente WA PREMIUM $814.90 $1,477.19 $1,311.61 $1,973.90
(Group Health Value) $30 Primary Care $250/Person $3,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
$50 Specialist $750/Family $6,000/Family EMPLOYEE PAYS(Payroll Deduction) None $56.09 None $552.80
Kaiser Permanente WA PREMIUM $759.09 $1,360.11 $1,224.44 $1,767.12
(Group Health CDHP) 10%/Primary Care $1,400/Person $5,100/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
10%Specialist $2,800/Family $10,200/Family EMPLOYEE PAYS(Payroll Deduction) None None None $346.02
Kaiser Permanente WA PREMIUM $761.86 $1,371.09 $1,218.78 $1,828.02
(Group Health Sound Choice) 0 Primary Care $125/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
(Must live or work in Snohomish,King, 15%Specialist $375 Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None None None $406.92
Pierce or Thurston County)
Uniform Medical Plan Classic PREMIUM $833.50 $1,514.37 $1,344.15 $2,025.03
15%Primary Care $250/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
15%Specialist $750/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None $93.27 None $603.93
Uniform Medical Plan CDHP PREMIUM $759.19 $1,360.30 $1,224.61 $1,767.39
15%Primary Care $1,400/Person $4,200/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
15%Specialist $2,800/Family $8,400/Family EMPLOYEE PAYS(Payroll Deduction) None None None $346.29
Uniform Medical Plan PLUS or PREMIUM $776.72 $1,400.83 $1,244.80 $1,868.90
Uniform Medical Plan Plus UW 0%Primary Care $125/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
Medicine ACN
(Must live in Snohomish,King,Kitsap,
Pierce,Spokane,Yakima,Skagit or Thurston 15%Specialist $375/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None None None $447.80
County)
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver Premium Surcharge $0.00 $50.00 $0.00 $50.00
Medical Waived $152.62 $152.62 $152.62 $152.62
DENTAL Deductibles Max out-of-pocket VISION BASIC LIFE AND AD&D Insurance
Uniform Dental Group#3000 You pay amounts Included In medical plan Basic Life $35,000 Basic AD&D $5,000
$50/Person$150/Family
Delta Dental PPO over$1,750 May enroll in supplemental Term Life Insurance without providing
You pay any amount over$150 every 24 evidence of insurability If enrolled no later than 60 days after
Delta Care Group#3100 NONE No General Plan months for frames,lenses,contacts and becoming eligible.
Managed care w/limited dentists Maximum fitting fees combined.Exception:for UMP
Willamette Dental No General Plan Classic,you pay any amount over$65 for May enroll in optional LTD within 31 days of initial eligibility for
NONE contact lens fitting fees. PEBB benefits.After 31 days must also complete Evidence of
MaximumMana ed care&their facilities
Insurability form.
GENERAL SERVICES
PEBB-Medical Benefits&WCIF-Dental Vision Life Benefits 2019
The County premium contribution using the pooling method approved by Resolution 72-18.All pooled @ 2019 rate of$1206
Copays Annual Deductibles Max out-of-pocket Employee EE/Spouse EE/Children Full Family
Kaiser Permanente WA(Group PREMIUM $806.64 $1,546.05 $1,361.20 $2,100.62
Health Classic) $15 Primary Care $175/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130,94 $130.94 $130.94
$30 Specialist $525/Family $4,000/Family PREMIUM TOTAL $937.58 $1,676.99 $1,492.14 $2,231.56
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) $0.00 $307.89 $123.04 $862.46
Kaiser Permanente WA(Group PREMIUM $729.50 $1,391.79 $1,226.21 $1,888.50
Health Value) $30 Primary Care $250/Person $3,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
$50 Specialist $750/Family $6,000/Family PREMIUM TOTAL $860.44 $1,522.73 $1,357.15 $2,019.44
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $153.63 None $650.34
Kaiser Permanente WA(Group PREMIUM $673.69 $1,274.71 $1,139.04 $1,681.72
Health CDHP) 10%/Primary Care $1,400/Person $5,100/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
10%Specialist $2,800/Family $10,200/Family PREMIUM TOTAL $804.63 $1,405.65 $1,269.98 $1,812.66
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $36.55 None $443.56
Kaiser Permanente WA(Group PREMIUM $676.46 $1,285.69 $1,133.38 $1,742.62
Health Sound Choice) 0 Primary Care $125/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%Specialist $375 Family $4,000/Family PREMIUM TOTAL $807.40 $1,416.63 $1,264.32 $1,873.56
(Must live or work in Snohomish,King, COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
Pierce or Thurston County) EMPLOYEE PAYS(Payroll Deduction) None $47.53 None $504.46
Uniform Medical Plan Classic PREMIUM $748.10 $1,428.97 $1,258.75 $1,939.63
15%Primary Care $250/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%Specialist $750/Family $4,000/Family PREMIUM TOTAL $879.04 $1,559.91 $1,389.69 $2,070.57
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $190.81 $20.59 $701.47
Uniform Medical Plan CDHP PREMIUM $691.32 $1,315.43 $1,159.40 $1,783.50
15%Primary Cam $1,400/Person $4,200/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%Specialist $2,500/Family $8,400/Family PREMIUM TOTAL $822.26 $1,446.37 $1,290.34 $1,914.44
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $77.27 None $545.34
Uniform Medical Plan PLUS or PREMIUM $675.43 $1,290.97 $1,137.09 $1,752.63
Uniform Medical Plan Plus UW 0%Primary Care $125/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
Medicine ACN
(Must live in Snohom sh K ng,K rap,Pierce, 15%Specialist $375/Family $4,000/Family PREMIUM TOTAL $806.37 $1,421.91 $I.2 68.03 $1,883.57
Spokane,Yakima,Skagit or Thurston County)
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $52.81 None $514.47
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver Premium Surcharge $0.00 $50.00 $0.00 $50.00
DENTAL VISION LIFE
WCIF Delta Dental VSP$175 Basic $24,000
Willamette(Managed Care&their facilities)Reduce premium by$6.75 Frame Dependent $1,000
DEPUTY PROSECUTING ATTORNEYS
PEBB-Medical Benefits&WCIF-Dental Vision Life Benefits 2019
The County premium contribution using the pooling method approved by Resolution 72-18.All pooled @ 2019 rate of$1258
Copays Annual Deductibles Max out-of-pocket Employee EE/Spouse EE/Children Full Family
Kaiser Permanente WA(Group PREMIUM $806.64 $1,546.05 $1,361.20 $2,100.62
Health Classic) $15 Primary Care $175/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
$30 Specialist $525/Family $4,000/Family PREMIUM TOTAL $937.58 $1,676.99 $1,492.14 $2,231.56
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) $0.00 $255.89 $71.04 $810.46
Kaiser Permanente WA(Group PREMIUM $729.50 $1,391.79 $1,226.21 $1,888.50
Health Value) $30 Primary Care $250/Person $3,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
S50 Specialist $750/Family $6,000/Family PREMIUM TOTAL $860.44 $1,522.73 $1,357.15 $2,019A4
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None $101.63 None $598.34
Kaiser Permanente WA(Group PREMIUM $673.69 $1,274.71 $1,139.04 $1,681.72
Health CDHP) 10%/Primary Care $1,400/Person $5,100/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
10%Specialist $2,800/Family $10,200/Family PREMIUM TOTAL $804.63 $1,405.65 $1,269.98 $1,812.66
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None None None $391.56
Kaiser Permanente WA(Group PREMIUM' $676.46 $1,285.69 $1,133.38 $1,742.62
Health Sound Choice) 0 Primary Care $125/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%Specialist $375 Family $4,000/Family PREMIUM TOTAL $807.40 $1,416.63 $1,264.32 $1,873.56
(Must live or work in Snohomish,King, COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
Pierce or Thurston County) EMPLOYEE PAYS(Payroll Deduction) None None None $452.46
Uniform Medical Plan Classic PREMIUM $748.10 $1,428.97 $1,258.75 $1,939.63
15%Primary Caro $250/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%Specialist $750/Family $4,000/Family PREMIUM TOTAL $879.04 $1,559.91 $1,389.69 $2,070.57
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None $138.81 None $649.47
Uniform Medical Plan CDIIP PREMIUM $691.32 $1,315.43 $1,159.40 $1,783.50
15%Primary Care $1,400/Person $4,200/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%Specialist $2,800/Family $8,400/Family PREMIUM TOTAL $822.26 $1,446.37 $1,290.34 $1,914.44
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None $25.27 None $493.34
Uniform Medical Plan PLUS or PREMIUM $675.43 $1,290.97 $1,137.09 $1,752.63
Uniform Medical Plan Plus UW
0%Primary Cam $125/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
Medicine ACN
(Must live in Snohomish,King,l tsap,Pierce, 15%Specialist $375/Family $4,000/Family PREMIUM TOTAL $806.37 $1,421.91 $1,268.03 $1,883.57
Spokane,Yakima,Skagit or Thurston County)
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None $0.81 None $462.47
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver Premium Surcharge $0.00 $50.00 $0.00 $50.00
DENTAL VISION LIFE
WCIF Delta Dental VSP$175 Basic $24,000
Willamette(Managed Care&their facilities)Reduce premium by$6.75 Frame Dependent $1,000
NON-REPRESENTED,ELECTED OFFICIALS,AND PROBATION SERVICES
PEBB-Medical and Dental 2019
The County premium contribution using the pooling method approved by Resolution 72-18.All pooled @ 2019 rate of$1206
Copays Annual Deductibles Max out-of-pocket Employee EE/Spouse EE/Children Full Family
Kaiser Permanente WA PREMIUM $892.04 $1,631.45 $1,446.60 $2,186.02
(Group Health Classic) $15 Primary Care $175/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
$30 Specialist $525/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None $262.35 None $816.92
Kaiser Permanente WA PREMIUM $814.90 $1,477.19 $1,311.61 $1,973.90
(Group Health Value) $30 Primary Care $2S0/Person $3,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
$50 Specialist $750/Family $6,000/Family EMPLOYEE PAYS(Payroll Deduction) None $108.09 None $604.80
Kaiser Permanente WA PREMIUM $759.09 $1,360.11 $1,224.44 $1,767.12
(Group Health CDHP) 10%/Primary Care $1,400/Person $5,100/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
10%Specialist $2,800/Family $10,200/Family EMPLOYEE PAYS(Payroll Deduction) None None None $398.02
Kaiser Permanente WA PREMIUM $761.86 $1,371.09 $1,218.78 $1,828.02
(Group Health Sound Choice) 0 Primary Care $125/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
(Must live or work in Snohomish,King, 15%Specialist $375 Family $4,000/Family EMPLOYEE PAYS
Pierce or Thurston County) p y (Payroll Deduction) None $1.99 None $458.92
Uniform Medical Plan Classic PREMIUM $833.50 $1,514.37 $1,344.15 $2,025.03
15%PrimaryCare $250/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
15%Specialist $750/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None $145.27 None $655.93
Uniform Medical Plan CDHP PREMIUM $759.19 $1,360.30 $1,224.61 $1,767.39
15%Primary Care $1,400/Person $4,200/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
15%Specialist $2,800/Family $8,400/Family EMPLOYEE PAYS(Payroll Deduction) None None None $398.29
Uniform Medical Plan PLUS or PREMIUM $776.72 $1,400.83 $1,244.80 $1,868.90
Uniform Medical Plan Plus UW 0%Primary Care $125/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
Medicine ACN
(Must live in Snohomish,King,Kitsap,
Pierce,Spokane,Yakima,Skagit or Thurston 15%Specialist $375/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None None None $499.80
County)
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver Premium Surcharge $0.00 $50.00 $0.00 $50.00
Medical Waived $152.62 $152.62 $152.62 $152.62
DENTAL Deductibles Max out-of-pocket VISION BASIC LIFE AND AD&D Insurance
Uniform Dental Group#3000 You pay amounts Included in medical plan Basic Life $35,000
$50/Person$150/Family Basic AD&D $5,000
Delta Dental PPO over$1,750 May enroll In supplemental Term Life Insurance without providing
You pay any amount over$150 every 24 evidence of Insurability if enrolled no later than 60 days after
Delta Care Group#3100 NONE No General Plan months for frames,lenses,contacts and becoming eligible.
Managed care w/limited dentists Maximum fitting fees combined.Exception:for UMP
Willamette Dental
No General Plan Classic,you pay any amount over$65 for May enroll in optional LTD within 31 days of initial eligibility for
NONE •
contact lens fitting fees. PEBB benefits.After 31 days must also complete Evidence of
Managed care&their facilities Maximum
Insurability form.