Faculty and Staff Benefits
2009 Monthly COBRA Premiums
Medical Premium Rates
| |
UM Choice Plus
POS Program |
Catastrophic
Program |
| Self* |
$384.85 |
$134.44 |
| Self* & Spouse |
$850.37 |
$314.90 |
| Self* & Child/ren |
$650.82 |
$188.19 |
| Self*, Spouse & Child/ren |
$1,110.33 |
$377.91 |
Dental Premium Rates
| |
ALL AREAS |
| Self* |
$29.23 |
| Self* & Spouse |
$58.47 |
| Self* & Child/ren |
$70.95 |
| Self*, Spouse & Child/ren |
$100.18 |
Vision Premium Rates
| |
ALL AREAS |
| Self* |
$6.12 |
| Self* & Spouse |
$12.24 |
| Self* & Child/ren |
$13.26 |
| Self*, Spouse & Child/ren |
$21.01 |
* "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 Great-West Healthcare.
