OEBB Insurance Calculation Tool

Medical Plan

You must select one option

Plan Employee OnlyEmployee + Spouse or Domestic PartnerEmployee + 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 OnlyEmployee + Spouse or Domestic PartnerEmployee + 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 OnlyEmployee + Spouse or Domestic PartnerEmployee + 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