Retiree COBRA Health Continuation Premiums

Coverage

You are eligible to purchase the same coverage you had at the time your coverage was terminated. If you have any questions, please contact the Division of Retirement and Benefits.

2014 premiums are effective January 1, 2014 and are subject to change.

Medical
Coverage Level 2014 Monthly Premium
Retiree Only $839.46
Retiree and Spouse $1,679.94
Retiree and Child(ren) $1,186.26
Retiree and Family $2,026.74
Dental-Vision-Audio
Coverage Level 2014 Monthly Premium
Retiree Only $71.40
Retiree and Spouse $141.78
Retiree and Child(ren) $127.50
Retiree and Family $201.96
Long-Term Care
Coverage Level Monthly Premium
Retiree Current Premium
Spouse Current Premium

Reminder: Your premiums can be deducted directly from your bank account. If you are interested in this option, please see the forms page.

Updated 11/2013