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Health care plan rates: COBRA continuation

COBRA continuation rates

 

2021 rates

Full-Time Employees Earning < $62,100
University Health Care Plans Single Family Employee & Spouse/ Domestic Partner Employee & Child(ren)
YOUR PPO Plan $675.79 $2,027.25 $1,486.69 $1,216.38
YOUR HSA-Eligible Plan $566.66 $1,699.91 $1,246.63 $1,019.96
Full-Time Employees Earning $62,100 – $132,500 and Part-Time Employees < $132,500 with more than 5 Years of Service
University Health Care Plans Single Family Employee & Spouse/ Domestic Partner Employee & Child(ren)
YOUR PPO Plan $670.19 $2,010.46 $1,474.39 $1,206.29
YOUR HSA-Eligible Plan $560.48 $1,681.35 $1,233.06 $1,008.83
Part-Time Employees Earning < $132,500 with less than 5 Years of Service
University Health Care Plans Single Family Employee & Spouse/ Domestic Partner Employee & Child(ren)
YOUR PPO Plan $670.19 $2,010.46 $1,474.39 $1,206.29
YOUR HSA-Eligible Plan $560.48 $1,681.35 $1,233.06 $1,008.83
Employees Earning > $132,500
University Health Care Plans Single Family Employee & Spouse/ Domestic Partner Employee & Child(ren)
YOUR PPO Plan $670.19 $2,010.46 $1,474.39 $1,206.29
YOUR HSA-Eligible Plan $560.48 $1,681.35 $1,233.06 $1,008.83
University Dental Plans
Single Family
Traditional Dental Plan $32.60 $66.77
Medallion Dental Plan $42.62 $87.33

*Also includes Agency Nurses with Medical and Time-as-Reported employees who qualify as a full-time employee in accordance with the University’s Measurement and Stability Periods Policy.

The Salary Band level is based on the faculty or staff member’s salary, University service and full-time/part-time status as of the date of the COBRA qualifying event. COBRA Premiums are billed directly by the Third Party Administrator for the Health Care Plan, Excellus. Those eligible for the Employee Assistance Program (EAP) at the time their employment or benefit eligible status ends will automatically be enrolled, together with any eligible dependents, for EAP COBRA continuation coverage at no cost for the period of their COBRA eligibility period.

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