COMPTROLLER'S MEMORANDUM NO. 99-26
COMPTROLLER'S MEMORANDUM NO. 99-26
May 21, 1999
TO THE HEADS OF ALL STATE AGENCIES
| ATTENTION: | Personnel and Payroll Officers |
| SUBJECT: | 1999-2000 COBRA Continuation Coverage Rates |
The following are the new MONTHLY rates for COBRA continuation coverage, effective July 1, 1999:
| Plan | Individual | One Dependent | Family |
| Blue Cross State Preferred | $347.65 | $764.83 | $938.64 |
| Blue Cross Out of Area | $339.12 | $746.06 | $915.62 |
| State BlueCare POS | $244.36 | $537.59 | $659.78 |
| State BlueCare POE | $231.89 | $510.14 | $626.08 |
| State BlueCare POE Plus | $221.44 | $487.17 | $597.89 |
| PHS Charter POS | $226.05 | $497.35 | $610.37 |
| PHS Charter HMO | $219.75 | $483.46 | $593.31 |
| PHS Passport HMO | $215.33 | $473.75 | $581.41 |
| MedSpan P.O.S | $230.53 | $507.18 | $622.46 |
| MedSpan P.O.E | $207.40 | $456.27 | $559.97 |
| MedSpan P.O.E Gated* | $203.25 | $447.14 | $548.76 |
| Kaiser Foundation | $192.38 | $423.24 | $519.44 |
| Blue Cross Indemnity Dental A & C | $22.95 | $70.10 | $70.10 |
| Blue Cross Indemnity Dental A, B & C | $29.06 | $81.52 | $81.52 |
| CIGNA Dental | $15.65 | $34.43 | $42.25 |
| All Rates include a 2% administrative fee | |||
| * available after January 2000, only to those enrolled in MedSpan POE prior to that date | |||
Form CO-1022 (revised 5/99)"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" (revised 11/97) is to be used to notify those enrolled in CIGNA Dental. Your Agency business office can order both forms through the state's forms management program, Vanguard Direct, 1- (800) 369-0570 after July 1, 1999.
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 |
Back to Comptroller's Home Page
Back to Index of Comptroller's Memoranda