Tax issues related to nontax qualified dependent insurance Oct 2013 - Sept 2014 Instructions and Worksheet.Oct 2014 - Sept 2015 Instructions and Worksheet.Oct 2015 - Sept 2016 Instructions and Worksheet.Oct 2016 - Sept 2017 Instructions and Worksheet.Oct 2017 - Sept 2018 Instructions and Worksheet.Oct 2018 - Sept 2019 Instructions and Worksheet.Oct 2019 - Sept 2020 Instructions and Worksheet.Oct 2020 - Sept 2021 Instructions and Worksheet.Oct 2021 - Sept 2022 Instructions and Worksheet.

Oct 2022 - Sept 2023 Instructions and Worksheet.K-12 retiree subsidy instructions and worksheetsįor the portions of K-12 school districts and educational service districts that are not covered by the Public Employees Benefits Board (PEBB) Program or the School Employees Benefits Board (SEBB) Program. 2017 Tiered Rates for K-12 school districts, Educational Service Districts, charter schools and other PEBB employer groups.2018 Tiered Rates for K-12 School Districts, Educational Service Districts, charter schools and other PEBB employer groups.2019 Tiered Rates for K-12 school districts, Educational Service Districts, charter schools and other PEBB employer groups.2020 Tiered Rates for Educational Service Districts and other PEBB employer groups.2021 Tiered Rates for Educational Service Districts and other PEBB employer groups.Related tools and information Breakdown of tiered rates

2009 Retiree Rate Sheet in Retiree Packet.

2010 Retiree Rate Sheet in Retiree Packet.

2011 Retiree Rate Sheet in Retiree Packet.

2012 Retiree Rate Sheet in Retiree Packet.

2013 Retiree Rate Sheet in Retiree Packet.

2009 COBRA-LWOP Rate Sheet in COBRA-LWOP Packet.

2010 COBRA-LWOP Rate Sheet in COBRA-LWOP Packet.

2011 COBRA-LWOP Rate Sheet in COBRA-LWOP Packet.

2012 COBRA-LWOP Rate Sheet in COBRA-LWOP Packet.

2013 COBRA-LWOP Rate Sheet in COBRA-LWOP Packet.

Participating employer group rates Educational service districts and K-12 school districtsĮducational service districts and K-12 school districts with school board members enrolled in PEBB benefits.Īdditional rates for employees and retirees Life, accidental death and dismemberment, and long-term disabilityĬOBRA and Unpaid Leave Continuation Coverage

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