Self-Pay Rates 2018

Effective January 1, 2018

Monthly rates for the various benefits packages are reviewed annually to keep up with the cost of medical care and prescription medications.

Western and Central Washington
General

Western and Central Washington
Domestic Partner (Tax)
Eastern Washington, Idaho, Montana, Wyoming
General
Eastern Washington, Idaho, Montana, Wyoming
Domestic Partner (Tax)
Dollar Bank Eligibility (Family Rate) $850/month $392/month $750/month $382
Self-Contribution Coverage (Family Rate)
Unemployed or temporarily disabled (without dental) $ 533 $ 714 ($181) $550 $737 ($187)
Unemployed or temporarily disabled (with dental) 589 789 ($200) 573 768 ($195)
Military (without dental) 277 541 ($264) 286 559 ($273)
Military (with dental) 306 599 ($293) 297 582 ($285)
COBRA Continuation Coverage (Family Rate)
COBRA (without dental) $1,087 $1,087 ($0) $1,123 $1,123 ($0)
COBRA (with dental) 1,202 1,202 ($0) 1,169 1,169 ($0)
COBRA disabled (without dental) 1,598 1,598 ($0) 1,651 1,651 ($0)
COBRA disabled (with dental) 1,768 1,768 ($0) 1,719 1,719 ($0)
Retiree Coverage (Individual Rate)*
Not Eligible for Medicare
< 15,000 (0% subsidy) $971 $971 ($0) $971 $971 ($0)
15,001 - 24,999 (5% subsidy) 922 938 ($16)    
25,000 - 34,999 (10% subsidy) 873 905 ($32)    
35,000 - 44,999 (15% subsidy) 825 873 ($48)    
45,000 - 54,999 (20% subsidy) 776 840 ($64)    
> 54,999 (25% subsidy) 728 807 ($79)    
Eligible for Medicare
< 15,000 (0% subsidy) $460 $460 ($0) $460 $460 ($0)
15,001 - 24,999 (5% subsidy) 437 445 ($8)    
25,000 - 34,999 (10% subsidy) 414 429 ($15)    
35,000 - 44,999 (15% subsidy) 391 414 ($23)    
45,000 - 54,999 (20% subsidy) 368 398 ($30)    
> 54,999 (25% subsidy) 345 383 ($38)    
SecureHorizons (Individual Rate)
Eligible for Medicare
< 15,000 (0% subsidy) $508 $508 ($0) N/A  
15,001 - 24,999 (5% subsidy) 482 490 ($8)
25,000 - 34,999 (10% subsidy) 457 474 ($17)
35,000 - 44,999 (15% subsidy) 431 456 ($25)
45,000 - 54,999 (20% subsidy) 406 439 ($33)
> 54,999 (25% subsidy) 381 422 ($41)

*For participants with the Western and Central Washington benefit package, the actual cost of retiree medical coverage may be discounted based on the number of hours of covered service while working under the Carpenters Health and Security Plan of Western Washington. Click here for information about this "service-based" subsidy. Participants with the Eastern Washington-Idaho-Montana-Wyoming benefit package are not eligible for this subsidy.