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$793.33$1745.32$1507.36$2459.39
Moda Medical Plan 2$735.94$1619.06$1398.31$2281.45
Moda Medical Plan 3$690.43$1518.96$1311.87$2140.41
Moda Medical Plan 4$651.94$1434.27$1238.70$2021.05
Moda Medical Plan 5$602.23$1324.91$1144.26$1866.96
Moda Medical Plan 6$614.29$1351.45$1167.19$1904.35
Moda Medical Plan 7$573.32$1261.30$1089.34$1777.33

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$67.54$133.80$148.78$220.33
Delta Dental Premier Plan 5 w/Ortho$59.66$118.17$131.41$194.60
Delta Dental Premier Plan 6$45.54$90.16$91.51$139.81
Delta Dental Exclusive PPO Incentive w/Ortho$58.55$115.98$128.97$190.99
Delta Dental Exclusive PPO w/Ortho$39.46$78.15$86.91$128.72
Willamette Dental Plan w/Ortho$46.99$93.99$100.11$150.18

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