Information
Fiscal year rates for Retiree & COBRA Benefit Plans
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2023-2024 Rates for BOEC, PROTEC17, PCL, DCTU, PFFA, PPCOA, Housing 189-H, Recreation & Non-Represented
Your costs are after-tax. As a retiree, you pay 100% of the cost of the monthly premium.
Plan | Total Monthly Benefit Costs | ||
---|---|---|---|
One Party | Two Party | Family | |
CityCore Medical & VSP Vision | $798.38 | $1,492.75 | $2,113.51 |
CityCore Medical & VSP Buy up | $807.19 | $1,508.79 | $2,134.90 |
CityHD Medical & VSP Vision | $631.70 | $1,167.76 | $1,646.83 |
CityHD Medical & VSP Buy up | $640.51 | $1,183.80 | $1,668.22 |
Kaiser NW Medical & Vision | $816.58 | $1,528.84 | $2,166.12 |
Delta Core Dental Plan | $62.88 | $108.59 | $192.93 |
Delta Buy-up Dental Plan | $80.02 | $140.05 | $228.08 |
Kaiser NW Dental | $74.88 | $149.74 | $224.62 |
Kaiser NW Medicare Senior Advantage Plan | $369.86 | $672.88 | - |
Retiree Medicare (Sr. Advantage) & Spouse/Domestic Partner (Kaiser Medical) | - | $1,082.12 | - |
Retiree (Kaiser Medical) & Spouse/Domestic Partner Medicare (Sr. Advantage) | - | $1,119.6 | - |
Employee Assistance Program (EAP) | $1.91 per month (same for all tiers) $8.40 per month (for PFFA retirees, same for all tiers) |
For additional information, view the Medical Plan Comparison, complete Benefit Plan Highlight Guide or Summary Plan Description.
Download PDF file2021-2022 Non-PPA Retiree/COBRA Rates(143.59 Kb)
2023-2024 Rates for Portland Police Association
Your costs are after-tax. As a retiree, you pay 100% of the cost of the monthly premium.
Plan | Total Monthly Benefit Costs | ||
---|---|---|---|
One Party | Two Party | Family | |
CityNet Medical & VSP Vision | $762.38 | $1,469.10 | $1,963.20 |
CityNet Medical & VSP Buy up | $772.60 | $1,487.66 | $1,987.95 |
CityHD Medical & VSP Vision | $572.04 | $1,085.15 | $1,443.90 |
CityHD Medical & VSP Buy up | $582.26 | $1,103.71 | $1,468.65 |
Kaiser NW Medical & Vision | $702.42 | $1,337.98 | $1,973.56 |
Delta Core Dental Plan | $64.31 | $111.11 | $197.38 |
Delta Buy-up Dental Plan | $75.40 | $130.30 | $231.49 |
Kaiser NW Dental | $63.70 | $127.36 | $191.06 |
Kaiser NW Medicare Senior Advantage Plan | $364.30 | $661.76 | - |
Retiree Medicare (Sr. Advantage) & Spouse/Domestic Partner (Kaiser Medical) | - | $999.86 | - |
Retiree (Kaiser Medical) & Spouse/Dependent Medicare (Sr. Advantage) | - | $999.86 | - |
Employee Assistance Program (EAP) | $8.40 per month (same for all tiers) |
For additional information, view the Medical Plan Comparison, complete Benefit Plan Highlight Guide (PPA) or Summary Plan Description.
2022-2023 Rates for Seasonal Maintenance Workers & Seasonal Park Rangers
Your costs are after-tax. As a retiree, you pay 100% of the cost of the monthly premium.
Plan | CityBasic Retiree Total Monthly Benefit Costs | ||
---|---|---|---|
One Party | Two Party | Family | |
CityBasic Medical & VSP Vision | $556.77 | $1,029.82 | $1,452.54 |
CityBasic Dental Plan | $46.42 | $80.14 | $142.38 |