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	$821.57	$1807.46	$1561.02	$2546.95
	Moda Medical Plan 2	$762.14	$1676.70	$1448.09	$2362.67
	Moda Medical Plan 3	$715.01	$1573.04	$1358.56	$2216.61
	Moda Medical Plan 4	$675.14	$1485.32	$1282.79	$2093.00
	Moda Medical Plan 5	$623.66	$1372.08	$1185.00	$1933.42
	Moda Medical Plan 6	$636.16	$1399.56	$1208.74	$1972.14
	Moda Medical Plan 7	$593.73	$1306.20	$1128.12	$1840.60

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	$69.45	$137.60	$153.00	$226.59
	Delta Dental Premier Plan 5 w/Ortho	$61.35	$121.52	$135.13	$200.13
	Delta Dental Premier Plan 6	$46.84	$92.72	$94.12	$143.79
	Delta Dental Exclusive PPO Incentive w/Ortho	$60.21	$119.27	$132.63	$196.41
	Delta Dental Exclusive PPO w/Ortho	$40.58	$80.37	$89.38	$132.38
	Willamette Dental Plan w/Ortho	$48.17	$96.34	$102.62	$153.93

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