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.
2013 premiums are effective January 1, 2013 and are subject to change.
| Coverage Level | 2013 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 |
| Coverage Level | 2013 Monthly Premium |
|---|---|
| Retiree Only | $71.40 |
| Retiree and Spouse | $141.78 |
| Retiree and Child(ren) | $127.50 |
| Retiree and Family | $201.96 |
| 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 Authorization for Automatic Funds Withdrawal form.
Updated 11/2012