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What are the COBRA Rates? » |
| Monthly COBRA Coverage Costs - Effective July 1, 2005 |
| Medical | $400 Deductible Premium Plan | $575 Deductible Basic Plan | New West HMO | Peak HMO | BC/BS MT HMO |
| Employee | $345.00 | $292.00 | $265.00 | $288.00 | $273.00 |
| E + Spouse | $606.00 | $583.00 | $530.00 | $545.00 | $545.00 |
| E + Child(ren) | $591.00 | $572.00 | $516.00 | $531.00 | $531.00 |
| E + Family | $673.00 | $629.00 | $591.00 | $606.00 | $606.00 |
| Child Only | $345.00 | $292.00 | $265.00 | $288.00 | $273.00 |
| Dental | Premium Plan | Basic Plan |
| Employee | $37.00 | $17.00 |
| E + Spouse | $66.00 | $29.00 |
| E + Children | $57.00 | $36.00 |
| E + Family | $85.00 | $44.00 |
| Child Only | $37.00 | $17.00 |
| Vision (Family) - $3.43 |
| Optional Reimbursement Accounts - Contribution (monthly) Minumum $10 - Maximum $500 |