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The City of Portland, Oregon

Office of Management & Finance

Bureau of Human Resources

Knowledgeable | Helpful | Responsive

Phone: 503-823-3572

Benefits Line: 503-823-6031

111 SW Columbia St., Ste 550, Portland, OR 97201

More Contact Info

COBRA Rates

COBRA Plan Costs (Non-PPA) Plan Year 2018-19

Plan

COBRA   Total Monthly Benefit Costs

 

One Party

Two Party

Family

CityCore Medical & VSP Vision

$674.75

$1,274.58

$1,810.79

CityCore Medical & VSP Buy up

$681.28

$1,286.45

$1,826.61

CityHD Medical & VSP Vision

$530.78

$993.86

$1,407.70

CityHD Medical & VSP Buy up

$537.31

$1,005.73

$1,423.52

Kaiser NW Medical & Vision

$723.85

$1,370.84

$1,949.71

Delta Core Dental Plan

$60.02

$103.65

$184.17

Delta Buy-up Dental Plan

$76.95

$134.66

$219.30

Kaiser NW Dental

$71.71

$143.41

$215.12

Employee Assistance Program (EAP)

$4.28 per month (same for all tiers)

$5.36 per month (for PFFA retirees, same for all   tiers)


COBRA Plan Costs (PPA) Plan Year 2018-19

Plan

PPA COBRA   Total Monthly Benefit Costs

 

One Party

Two Party

Family

CityNet Medical & VSP Vision

$676.39

$1,320.11

$1,770.17

CityNet Medical & VSP Buy up

$683.24

$1,332.55

$1,786.77

CityHD Medical & VSP Vision

$503.06

$970.46

$1,297.27

CityHD Medical & VSP Buy up

$509.91

$982.90

$1,313.87

Kaiser NW Medical & Vision

$616.06

$1,189.30

$1,762.54

Delta Core Dental Plan

$56.88

$98.27

$174.57

Delta Buy-up Dental Plan

$65.68

$113.50

$201.63

Kaiser NW Dental

$68.24

$136.46

$204.69

Employee Assistance Program (EAP)

$5.36 per month (for PFFA retirees, same for all   tiers)


COBRA Plan Rates (CityBasic) Plan Year 2018-19

Plan

CityBasic   COBRA Total Monthly Benefit Costs

 

One Party

Two Party

Family

CityBasic Medical & VSP Vision

$484.25

$903.12

$1,277.40

CityBasic Dental Plan

$44.33

$76.54

$135.99