Oregon PEBB - Plan Year 2017: Benefit Deduction Estimator
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1.   a) Select Employment Type: State Employee University Employee       b) Select Employment Status: Full-Time Part-Time
2. Select county in which you live or work:

Employee Premium Share

Your employee premium share will calculate at a 5% share if you choose the full time or part time PEBB Statewide or Kaiser HMO medical plans. All other plans, full time and part-time, will calculate at 1% premium share. Employee premium share may vary depending on the employing agency.
The premium shares described address most state agency employees. PEBB does not designate premium contributions, contact your agency benefit office if you have additional questions about your premium contribution.


Employee Premium Share

Your employee premium share will calculate at a 3% share if you are a full-time employee, have two plans available and choose the lowest premium cost medical plan where you live or work; all other choices will calculate at 5% premium share. Employee premium share may vary depending on the employing university.
The premium shares described address some university employees. PEBB does not designate premium contributions, contact your university benefit office if you have additional questions about your premium contribution.


3. Please Select Medical Tier
If you cover a domestic partner or children of a domestic partner who are not tax dependents, then an imputed value will be added for the coverage to employee monthly pay which then increases payroll taxes and decreases net pay.
Click here for more information regarding imputed values.
4. Enter the percent (50-90) of full-time that you typically work in a month: %

4. Available Medical Plans - check plans to compare

Full-Time Plans

Part-Time Plans

Dental/Vision

To enroll for vision or dental coverage you must be enrolled in a medical plan choice. To calculate the cost of dental or vision, choose a medical plan or opt out selection from the left and then click on the 'Add or Change' button for dental or vision. The full time Kaiser HMO and Kaiser Deductible medical plans include Kaiser vision; you cannot enroll for VSP vision with these plans. You can enroll for VSP with any other plan, including any of the part-time plans.



Additional information necessary to calculate medical plan rate:



Please select HEM status

Please select tobacco usage

Spouse/Partner other group coverage status

Additional information necessary to calculate plan rate:

Dental Plan

Please Select Tier

Please Select Plan


No Dental Coverage -
Total Dental Premium 5% Premium Share 3% Premium Share
$0.00 $0.00 $0.00

Additional information necessary to calculate plan rate:

Vision Plan

Please Select Tier

Please Select Plan

No Vision -
Total Vision Premium $0.00
Vision Premium - Core Benefit (VSP Basic) 5% Premium Share 3% Premium Share Additional Employee Share for VSP Plus
$0.00 $0.00 $0.00 $0.00



Vision Rates Total Rate VSP Basic Employee (EE) Share Additional Employee Share for VSP Plus
Tier VSP Basic Premium VSP Plus Premium 5% 1% (VSP Plus Total Rate - VSP Basic Total Rate)
Employee Only $10.72 $16.09 $0.54 $0.11 $5.37
Employee and Spouse/Partner $17.69 $26.53 $0.88 $0.27 $8.84
Employee and Children $15.01 $22.52 $0.75 $0.23 $7.51
Employee, Spouse/Partner, and Children $21.44 $32.16 $1.07 $0.32 $10.72


Plan Year 2017 Payroll Deduction Comparison

Medical Plans Selected for Comparison  →
Medical Premium:
Monthly Dental Premium
Monthly Vision Premium
Standard Basic Life
Total Premium for Core Benefits
Employee Share Percent**
Employee Share for Core Premium Prior to Family Subsidy
Total Paid by Employer
Family Tier Subsidy Paid by PEBB (Reduces employee share)  [info]Prior to 2017, the PEBB Board structured tiers (Employee Only, Employee & Spouse/Partner, Employee & Children, Employee and Family) in a way that implicitly subsidized the Employee and Family tier. A federal rule that becomes effective in 2020 will place an excise tax on annual premium amounts above a certain level. Under the current tier structure, PEBB would pay a tax penalty. To avoid this, the Board is beginning a three year process to align our tiers with those of other large employers. This process adds annual increases to the Employee and Family tiers while decreasing premium for other tiers.

The PEBB Board is using PEBB stabilization funds to offset the employee-share increases for employees enrolled in an Employee and Family tier.
  click here for more info
Total Monthly Employee Cost - Core Benefits
VSP Plus  [info] Employees pay the employee share percent multiplied by the VSP basic premium amount, plus the total premium difference between VSP Basic and VSP Plus if they choose VSP Plus. The amount in this row is the additional amount employees pay if choosing VSP Plus; the amount for VSP basic is calculated under core benefits above. 
HEM Incentive
Tobacco Surcharge:
Spouse/Partner Surcharge
Optional Benefits
FSA & Commuter Contributions
Total Monthly Employee Share*

*Total employee share is an estimate only. Final deductions are dependent on actual enrollment selections, employment classification, employment status, eligibility rules. and payroll taxes or pre-tax deductions.
**Employee share percent is not applicable to all employees. Please check with your payroll office if you are unsure of your premium share percentage



Plan Year 2017 Payroll Deduction Comparison - Part-Time

Medical Plans Selected for Comparison  →
Medical Premium:
Monthly Dental Premium
Monthly Vision Premium
Standard Basic Life
A. Total Premium for Core Benefits
Employee Share Percent**
B. Employee 1% or 5% Contribution
C. Total Benefit Cost after Employee Contribution ( A - B)
D. Employer Pro-rated Contribution (C * Percent of full-time)
E. Flat Rate Subsidy Paid by Employer
F. Additional employee contribution (C -D-E or $0 if C-D-E < 0)
G. Total Employee Share for Core Premium Prior to Family Subsidy (B + F)
H. PEBB Family Tier Subsidy  [info]Prior to 2017, the PEBB Board structured tiers (Employee Only, Employee & Spouse/Partner, Employee & Children, Employee and Family) in a way that implicitly subsidized the Employee and Family tier. A federal rule that becomes effective in 2020 will place an excise tax on annual premium amounts above a certain level. Under the current tier structure, PEBB would pay a tax penalty. To avoid this, the Board is beginning a three year process to align our tiers with those of other large employers. This process adds annual increases to the Employee and Family tiers while decreasing premium for other tiers.

The PEBB Board is using PEBB stabilization funds to offset the employee-share increases for employees enrolled in an Employee and Family tier.
  click here for more info
G. Total Employee Contribution - Core Benefits (B + F)
HEM, Surcharges, and Optional Benefits
VSP Plus  [info] Employees pay the employee share percent multiplied by the VSP basic premium amount, plus the total premium difference between VSP Basic and VSP Plus if they choose VSP Plus. The amount in this row is the additional amount employees pay if choosing VSP Plus; the amount for VSP basic is calculated under core benefits above. 
HEM Participant
Tobacco Surcharge - no tobacco use:
Spouse/Partner does not waive other group coverage
Optional Benefits
FSA & Commuter Contributions
Total Monthly Employee Share*

*Total employee share is an estimate only. Final deductions are dependent on actual enrollment selections, employment classification, employment status, eligibility rules. and payroll taxes or pre-tax deductions.
**Employee share percentage does not apply to all employees. Please check with your payroll office if you are unsure of your premium share percentage.



Optional Benefits, FSAs, and Commuter Accounts

Choose optional benefits you are currently enrolled in or will enroll in 2017














Dependent Life $0.00

Short Term Disability Salary: $ $0.00

Long Term Disability Salary: $ $0.00

Accidental Death and Dismemberment Salary: $ $0.00

Employee Optional Life info $0.00

Spouse/Partner Optional Life info $0.00

Employee Long Term Care info $0.00

Spouse/Partner Long Term Care info $0.00

Total Optional Benefit Premium Deductions $0.00



Health Care FSA monthly contribution $0.00

Dependent Care FSA monthly contribution $0.00

Transportation Pre-Tax monthly contribution $0.00

Parking Pre-Tax monthly contribution $0.00

Total FSA and Commuter contributions $0.00

Short Term Disability

Additional information necessary to calculate short term disability rate:



Enter gross monthly salary (nearest dollar amount):


Premium Amount $0.00

Long Term Disability

Additional information necessary to calculate long term disability rate:



Choose Long Term Disability Option Enter gross monthly salary (nearest dollar amount):


Premium Amount $0.00

Accidental Death and Dismemberment

Additional information necessary to calculate Accidental Death and Dismemberment rate:



Choose Coverage Amount Select Coverage Tier: Employee Only
Employee and Dependents


Premium Amount $0.00

Employee Optional Life Insurance

Additional information necessary to calculate Employee Option Life Insurance rate:



Choose Coverage Amount
Select Smoking Status when policy was approved: Non-smoker Smoker

Enter Age as of 12/31/2016 (for 2017 rate):


Premium Amount $0.00

Spouse/Partner Optional Life Insurance

Additional information necessary to calculate Spouse/Partner Option Life Insurance rate:



Choose Coverage Amount
Select Smoking Status when policy was approved: Non-smoker Smoker

Enter Age of Spouse/Partner as of 12/31/2016 (for 2017 rate):


Premium Amount $0.00

Employee Long Term Care

Additional information necessary to calculate Employee Long Term Care rate:



Choose Plan
Choose Monthly Facility Benefit Amount
Select Duration: 3 Years 6 Years Unlimited

Enter Age of Employee when Unum plan was first effective:


Premium Amount $0.00

Spouse/Partner Long Term Care

Additional information necessary to calculate Spouse/Partner Long Term Care rate:



Choose Plan
Choose Monthly Facility Benefit Amount
Select Duration: 3 Years 6 Years Unlimited

Choose Age of Spouse/Partner when Unum plan was first effective:


Premium Amount $0.00

Health Care Flexible Spending Account

Enter monthly contribution for your health care flexible spending account:



Maximum annual contribution for health care FSAs is $2500


Select number of months: 9 months 10 Months 12 Months


Monthly Health Care Contribution:

Dependent Care Flexible Spending Account

Enter monthly contribution for your dependent care flexible spending account:



Maximum annual contribution for dependent care FSAs is $5000


Select number of months: 9 months 10 Months 12 Months


Monthly Dependent Care Contribution:

Transportation Pre-Tax Accounts

Enter monthly contribution for your transportation pre-tax account:



Maximum monthly contribution for transportation (bus, train, van pool) is $130




Monthly Transportation Contribution:

Parking Pre-Tax Accounts

Enter monthly contribution for your parking pre-tax account:



Maximum monthly contribution for parking is $250




Monthly Parking Contribution: