Salem-Keizer Public Schools
Self-Pay Early Retiree Rates
COBRA benefits are administered by Benefit Help Solutions (BHS).
Phone: 1-800-556-3137
Self-Pay Early Retiree (SPER) Monthly Insurance Rates 10/01/2026 to 09/30/2027
Self-Pay Early Retirees are eligible to continue medical, dental, vision, and optional life (if enrolled in these prior to retirement).
SPER Medical Insurance
| Medical Plan Options | Retiree Only | Retiree & Spouse or Domestic Partner | Retiree & Child(ren) | Retiree & Spouse or Domestic Partner & Child(ren) |
|---|---|---|---|---|
| Moda Medical Plan 1 |
$850.58 |
$1,871.25 | $1,616.13 | $2,636.85 |
| Moda Medical Plan 2 | $789.05 | $1,735.89 | $1,499.21 | $2,446.07 |
| Moda Medical Plan 3 | $740.25 | $1,628.57 | $1,406.52 | $2,294.85 |
| Moda Medical Plan 4 | $698.98 | $1,537.75 | $1,328.07 | $2,166.88 |
| Moda Medical Plan 5 | $645.68 | $1,420.51 | $1,226.82 | $2,001.67 |
| Moda Medical Plan 6 | $658.62 | $1,448.96 | $1,251.41 | $2,041.75 |
| Moda Medical Plan 7 | $614.69 | $1,352.31 | $1,167.94 | $1,905.57 |
| Kaiser Medical Plan 1 | $755.79 | $1,662.73 | $1,435.99 | $2,342.94 |
| Kaiser Medical Plan 2A | $659.84 | $1,452.57 | $1,253.63 | $2,046.49 |
| Kaiser Medical Plan 2B | $644.19 | $1,418.11 | $1,223.89 | $1,997.94 |
| Kaiser Med Plan 3 (HSA eligible) | $499.51 | $1,099.58 | $948.67 | $1,548.80 |
SPER Dental Insurance
| Dental Plan Options | Employee Only | Employee & Spouse or Domestic Partner | Employee & Child(ren) | Employe & Spouse or Domestic Partner & Child(ren) |
|---|---|---|---|---|
| Moda Delta Dental Plan 1 | $71.48 | $141.62 | $157.47 | $233.20 |
| Moda Delta Dental Plan 5 | $63.14 | $125.06 | $139.08 | $205.97 |
| Moda Delta Dental Plan 6 (no ortho) | $48.21 | $95.42 | $96.86 | $147.98 |
| Moda Exclusive PPO INCENTIVE Delta Dental | $61.98 | $122.76 | $136.50 | $202.14 |
| Moda Exclusive PPO Delta dental | $41.77 | $82.72 | $91.99 | $136.25 |
| Kaiser Dental | $78.34 | $172.36 | $148.86 | $242.86 |
| Willamette Dental | $49.79 | $99.63 | $106.11 | $159.14 |
SPER Vision Insurance
| Vision Plan Options | Employee Only | Employee & Spouse or Domestic Partner | Employee & Child(ren) | Employe & Spouse or Domestic Partner & Child(ren) |
|---|---|---|---|---|
| Moda Vision Opal | $21.83 | $47.99 | $41.40 | $67.60 |
| Moda Vision Pearl | $17.81 | $39.24 | $33.87 | $55.26 |
| Moda Vision Quartz | $12.58 | $27.71 | $23.91 | $38.99 |
| VSP Choice Plus Plan | $14.15 | $31.14 | $26.90 | $43.87 |
| VSP Choice Plan | $6.89 | $15.14 | $13.08 | $21.33 |
| Kaiser Vision (Only available with Kaiser Medical) | $8.49 | $18.67 | $16.12 | $26.31 |