State of Connecticut Office of the State Comptroller MEMORANDUM NO. 2009-25

ATTENTION:	Personnel and Payroll Officers
SUBJECT:	2009 - 2010 COBRA Continuation Coverage Rates and Updated ARRA COBRA Rates

The following MONTHLY rates for COBRA continuation coverage are effective July 1, 2009.

PLAN	INDIVIDUAL	INDIVIDUAL +1	FAMILY
Blue Cross State Preferred	$789.63	$1,737.19	$2,132.01
Blue Cross Out of Area	$756.15	$1,663.52	$2,041.60
State BlueCare POS	$555.35	$1,221.77	$1,499.44
State BlueCare POE	$537.92	$1,183.42	$1,452.38
State BlueCare POE Plus	$535.84	$1,178.84	$1,446.76
Health Net Charter POS	$529.37	$1,164.61	$1,429.30
Health Net Charter HMO	$499.13	$1,098.08	$1,347.64
Health Net Passport HMO	$504.83	$1,110.62	$1,363.04
Oxford Freedom Select POS	$479.39	$1,054.66	$1,294.35
Oxford HMO Select POE	$456.65	$1,004.64	$1,232.97
Oxford HMO	$420.89	$925.96	$1,136.41
Oxford USA Out of Area	$507.81	$1,117.18	$1,371.08
United Basic Dental	$38.16	$116.38	$116.38
United Enhanced Dental PPO	$35.11	$107.08	$107.08
CIGNA Dental DHMO	$23.55	$51.82	$63.59
United Dental Judges	$39.11	$118.88	$118.88

The Core-CT Health Insurance Continuation Coverage Notice is to be used to notify employees and/or beneficiaries of their right to continue health benefits for all plans. All medical plan rates include Caremark prescription drug coverage. Attached are the updated ARRA COBRA Rates for 2009-10 that are to be included with the standard Continuation Coverage Notice issued to ARRA-Eligible beneficiaries under Comptroller's Memorandum 2009-10.

Questions concerning this matter should be directed to the Healthcare Policy and Benefit Services Division, Central Benefits Unit at (860)702-3535. Kindly refrain from directing employees to this number.


	STATE OF CONNECTICUT
NANCY WYMAN COMPTROLLER	OFFICE OF THE STATE COMPTROLLER 55 ELM STREET HARTFORD, CONNECTICUT 06106-1775	MARK OJAKIAN DEPUTY COMPTROLLER