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							                     BEAVERTON SCHOOL DISTRICT
               GROUP RATES FOR ALL RETIREES
                  Rates Effective July 1, 2012 – June 30, 2013



      MEDICAL                                              MONTHLY PREMIUM
      Blue Cross Purple Plan*
      Single party                                                             $ 575.75
      Two-party                                                                $1186.55
      Family                                                                   $1625.35

      Blue Cross Yellow Plan with Yellow Dental
      Single party                                                             $ 526.40
      Two-party                                                                $1099.95
      Family                                                                   $1527.95

      Blue Cross Yellow Plan with Willamette Dental
      Single party                                                             $ 543.80
      Two-party                                                                $1127.65
      Family                                                                   $1549.25

      Kaiser Permanente *
      Single party                                                             $ 471.01
      Two-party                                                                $ 942.01
      Family                                                                   $1271.72



      DENTAL
      Blue Cross Purple Dental
      Single party                                                             $ 37.55
      Two-party                                                                $ 90.00
      Family                                                                   $146.20

      Willamette Dental
      Single party                                                              $ 46.45
      Two-party                                                                 $ 97.50
      Family                                                                    $134.70

* If enrolled in a dental plan, please add the medical premium to the dental premium to obtain
  the total monthly premium.
                                                                   (365/Insurance Rates)