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| STATE OF CONNECTICUT | ||
| NANCY WYMAN COMPTROLLER |
OFFICE OF
THE STATE COMPTROLLER 55 ELM STREET HARTFORD, CONNECTICUT 06106-1775 |
MARK OJAKIAN DEPUTY COMPTROLLER |
MEMORANDUM NO. 95 - 28
May 8, 1995
TO THE HEADS OF ALL STATE AGENCIES
| ATTENTION: | Personnel and Payroll Officers |
| SUBJECT: | 1995-6 COBRA Continuation Coverage Rates |
The following new MONTHLY rates are effective for continuation coverage under COBRA, effective July 1, 1995.
Subscriber | Subscriber Plus One | Family | ||
|---|---|---|---|---|
| 1. | BLUE CROSS POS PLAN | $197.88 | $514.49 | $514.49 |
| 2. | BLUE CROSS DENTAL WITH | |||
| A & C RIDERS | $ 17.05 | $ 52.08 | $ 52.08 | |
| 3. | BLUE CROSS DENTAL WITH | |||
| A, B & C RIDERS | $ 21.58 | $ 60.56 | $ 60.56 | |
| 4. | BLUE CROSS POE PLAN | $188.98 | $415.75 | $510.23 |
| 5. | BLUE CROSS OUT-OF-AREA | $234.41 | $609.46 | $609.46 |
| 6. | CIGNA DENTAL | $ 13.89 | $ 26.27 | $ 37.74 |
| 7. | CHCP | $196.59 | $464.94 | $498.28 |
| 8. | KAISER PERMANENTE | $178.71 | $402.09 | $428.91 |
| 6. | M.D. HEALTH PLAN | $188.89 | $415.57 | $510.01 |
The rates include a 2 percent administration fee. Questions concerning this matter should be directed to the Benefits Division, at 566-1831.
Nancy Wyman
State Comptroller
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