State of Connecticut Office of the State Comptroller COMPTROLLER'S MEMORANDUM NO. 98-21

Seal of the Office of the State Comptroller

COMPTROLLER'S MEMORANDUM NO. 98-21

May 18, 1998

TO THE HEADS OF ALL STATE AGENCIES

ATTENTION: Personnel and Payroll Officers
SUBJECT: 1998 - 1999 COBRA Continuation Coverage Rates

The following are the new MONTHLY rates for COBRA continuation coverage, effective July 1, 1998:

Subscriber Subscriber
Plus One
Family
1 Blue Cross State Preferred $245.86 $540.89 $663.82
2 M.D. Health Plan $188.89 $415.57 $510.01
3 State BlueCare Point of Enrollment $201.36 $442.99 $543.67
4 Blue Cross Out of Area $245.86 $540.89 $663.82
5 State BlueCare Point of Service $223.73 $492.20 $604.06
6 Kaiser Permanente $182.87 $406.31 $415.94
7 Blue Cross Indemnity A & C $20.16 $61.56 $61.56
8 Blue Cross Indemnity A, B & C $25.52 $71.58 $71.58
9 CIGNA Dental $15.45 $29.21 $41.97

The above rates include a two percent (2%) administrative fee.

Form CO-1022 (revised 11/97) "Group Health Insurance Continuation Coverage Election" is to be used to notify employees and/or beneficiaries of their right to continue health benefits for all plans except CIGNA Dental. It is important that both sides of the form are given to the employee/beneficiary. Previous versions of this form should be discarded. Form CO-1022-1 "CIGNA Dental COBRA Application" (also revised 11/97) is to be used to notify those enrolled in CIGNA Dental. Both forms are available through the state's forms management program, Vanguard Direct, 1- (800) 369-0570.

Questions concerning this matter should be directed to the Retirement and Benefit Services Division, Health Care Analysis Unit, at (860) 702-3535.

 

Very truly yours,

Nancy Wyman
State Comptroller

NW/SW/WM

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