2012 Cobra Premiums

Medical Premium Rates

myChoice
Health Plan
myOptions
Health Plan
Self* $491.84 $433.30
Self* & Spouse $1086.65 $957.29
Self* & Child/ren $837.09 $737.44
Self*, Spouse & Child/ren $1425.72 $1255.99

Dental Premium Rates

Self* $30.11
Self* & Spouse $60.22
Self* & Child/ren $73.07
Self*, Spouse & Child/ren $103.18

Vision Premium Rates

Self* $5.61
Self* & Spouse $11.22
Self* & Child/ren $12.24
Self*, Spouse & Child/ren $19.38

 

* "Self" may be a former employee, a spouse, a widow/er or a child.
Please Note: The premium rates shown above are applicable during the initial COBRA continuation period. Premiums for extended COBRA coverage (totally disabled individuals and certain surviving or divorced spouses) are higher and may be obtained from ASI Cobra.

Reviewed 2011-12-20.