Plan

Total Monthly Benefit Costs

One-Party

Two-Party

Family

CityCore Medical & VSP Vision

$651.05

$1,271.69

$1,705.70

CityCore Medical & VSP Buy up

$657.92

$1,284.16

$1,722.32

CityHD Medical & VSP Vision

$520.58

$1,008.17

$1,349.17

CityHD Medical & VSP Buy up

$527.45

$1,020.64

$1365.79

Kaiser NW Medical & Vision

$638.01

$1,232.11

$1,826.23

Delta Core Dental Plan

$58.84

$101.62

$180.56

Delta Buy-up Dental Plan

$75.44

$132.02

$215.00

Kaiser NW Dental

$70.30

$140.60

$210.90

Kaiser NW Medicare Senior Advantage Plan

One-party $320.12 
Two-party $596.35

Employee Assistance Program (EAP)

$4.20 per month (same for all tiers)

Plan

Total Monthly Benefit Costs

One-Party

Two-Party

Family

CityNet Medical &   VSP Vision

$684.59

$1,335.57

$1,790.70

CityNet   Medical & VSP Buy up

$690.86

$1,346.95

$1,805.88

CityHDP/VSP Vision

$509.31

$981.97

$1,312.46

CityHDP/VSP   Buy-up

$515.58

$993.35

$1,327.64

Kaiser Medical &   Vision

$622.39

$1,200.89

$1,779.37

Delta   Dental Plan of Oregon

$55.76

$96.34

$171.15

Delta Dental Buy-Up   Plan

$64.39

$111.27

$197.68

Kaiser   Dental

$66.90

$133.78

$200.68

Kaiser Medicare Senior   Advantage Plan

One-party $320.12
Two-party $596.35

Employee   Assistance Program (EAP)

$5.25 per month (same for all tiers)