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COBRA: Medical only, dental only or both

Medical COBRA Rates for SPEEA-represented employees

COBRA RATES for Boeing SPEEA (7/1/07-6/30/08)
You Only
You + Spouse
You + Child(ren
Family
Kaiser-CCP-Portland, OR 393.50 787.00 787.0000 1,180.48
Regence-Selections Plus CCP-Wichita, KS 382.64 765.28 765.2800 1,147.92
Kaiser-HMO S. CA 340.35 680.70 680.7000 1,021.06
Regence-Select Network Plan-Seattle,WA 302.89 605.79 605.7900 908.69
Regence-Selections Plus CCP-Portland,OR 306.38 612.77 612.7700 919.16
Regence-Traditional Medical Plan-All Areas 334.24 668.48 668.4800 1,002.73
Regence-Traditional Medical Plan-CA 452.65 905.31 905.3100 1,153.96
Regence-Traditional Medical Plan-OR 413.94 827.89 827.8900 1,241.83
Regence-Traditional Medical Plan-WA 427.15 854.29 854.2900 1,281.43
TRICARE-Supplement Plan-All Areas 67.04 133.06 133.06 180.73
COBRA is calculated at 102% of premium and have been rounded

COBRA RATES for Boeing SPEEA WEU ACTIVEs
7/1/07-6/30/08

You Only
You +
Spouse
You +
Child(ren
Family
Preferred Health Systems-CCP-KS 292.65 585.31 585.31 878.00
Regence-Selections Plus CCP-Wichita, KS 327.54 655.08 655.08 982.62
Regence-Traditional Medical Plan-All Areas
(exclude KS)
330.91 692.43 692.43 992.75
Regence-Traditional Medical Plan-KS 457.17 914.34 914.34 1,371.52
TRICARE-Supplement Plan-All Areas $67.04 $133.06 $133.06 $180.73
DENTAL COBRA for SPEEA and WEU ACTIVEs
7/1/07-6/30/08
You Only
You +
Spouse
You +
Child(ren
Family
Aetna Scheduled Dental - All Locations 37.0200 74.0500 74.0500 111.0700
WDS Preferred Dental PPO - Oregon 52.1800 104.3600 104.3600 156.5400
WDS Preferred Dental PPO - Puget Sound 52.1800 104.3600 104.3600 156.5400
WDS Prepaid Dental - Portland, OR 101.1600 101.1600 101.1600 101.1600
WDS Prepaid Dental - Puget Sound $101.1600 $101.1600 $101.1600 $101.1600

COBRA rates are calculated at 102% of Active Premiums

Rounding may occur and actual rates may vary slightly

*subject to change pending outcome of negotiations and contract ratification

MEDICAL COBRA RATES for Early Retiree - 7/1/03 thru 6/30/04

to come