OEBB Insurance Calculation Tool

Retiree Calculator

Start by selecting a tier from the dropdown

Medical Plan

You must select one option

	Plan	Employee Only	Employee + Spouse or Domestic Partner	Employee + Child(ren)	Employee + Spouse or Domestic Partner + Child(ren)
	Moda Medical Plan 1	$850.58	$1871.25	$1616.13	$2636.85
	Moda Medical Plan 2	$789.05	$1735.89	$1499.21	$2446.07
	Moda Medical Plan 3	$740.25	$1628.57	$1406.52	$2294.85
	Moda Medical Plan 4	$698.98	$1537.75	$1328.07	$2166.88
	Moda Medical Plan 5	$645.68	$1420.51	$1226.82	$2001.67
	Moda Medical Plan 6	$658.62	$1448.96	$1251.41	$2041.75
	Moda Medical Plan 7	$614.69	$1352.31	$1167.94	$1905.57

Dental Plan

You must select one option

	Plan	Employee Only	Employee + Spouse or Domestic Partner	Employee + Child(ren)	Employee + Spouse or Domestic Partner + Child(ren)
	Delta Dental Premier Plan 1 w/Ortho	$71.48	$141.62	$157.47	$233.20
	Delta Dental Premier Plan 5 w/Ortho	$63.14	$125.06	$139.08	$205.97
	Delta Dental Premier Plan 6	$48.21	$95.42	$96.86	$147.98
	Delta Dental Exclusive PPO Incentive w/Ortho	$61.98	$122.76	$136.50	$202.14
	Delta Dental Exclusive PPO w/Ortho	$41.77	$82.72	$91.99	$136.25
	Willamette Dental Plan w/Ortho	$49.79	$99.63	$106.11	$159.14

Vision Plan

You must select one option

	Plan	Employee Only	Employee + Spouse or Domestic Partner	Employee + Child(ren)	Employee + Spouse or Domestic Partner + Child(ren)
	Moda Vision Opal	$21.83	$47.99	$41.40	$67.60
	Moda Vision Pearl	$17.81	$39.24	$33.87	$55.26
	Moda Vision Quartz	$12.58	$27.71	$23.91	$38.99
	VSP Choice Plus Plan	$14.15	$31.14	$26.90	$43.87
	VSP Choice Plan	$6.89	$15.14	$13.08	$21.33