COBRA Premiums for Continuation of Benefits for Regular Employees and Dependents

Provider

Monthly Premiums effective January 1, 2018

Employee

Employee and Spouse

Employee and Child(ren)

Family: Employee, Spouse, Child(ren)

Empire Blue Cross (RF Plan Preferred Provider Organization)

 

Traditional PPO

 

Deductible PPO

 

 

 

$901.79

 

$829.26

 

 

 

$1,889.17

 

$1,744.07

 

 

 

$1,594.37

 

$1,463.80

 

 

 

$2,698.35

 

$2,480.72

HMOs

Blue Choice (BCBS of Rochester/Excellus)

$704.14

$1,619.14

$1,772.97

$1,866.46

Capital District Physicians Health Plan (CDPHP - All Areas)

$751.32

$1,502.64

$1,427.51

$2,103.69

Independent Health Association (IHA)

$684.94

$1,643.87

$1,232.91

$1,917.87

MVP Health Plan

(all areas)

$903.38

$2,078.19

$1,714.42

$2,258.30

Dental Insurance

$35.22

$83.27

$83.27

$83.27

Vision Care

$3.79

$9.00

$9.00

$9.00

Vision Care- Plus

$12.75

$30.35

$30.35

$30.35

Note: Claims made while in active eligible status will count toward policy deductibles and limitations during the continuation period.

Additional information regarding Continuation of Health Benefits for Regular Employees and Dependents can be found in the following documents:

Change History

 

 

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