Open Enrollment for COBRA Participants

The following information applies to COBRA participants. You will have the same three Cigna medical plan choices and the same vision plan. Delta Dental will be the new dental insurance provider effective January 1, 2023.

 

Cigna HDHP $4000

Total Monthly Premiums COBRA 2% Admin. Fee COBRA Monthly Cost
Employee 534.34 $10.69 $545.03
Employee+Child $801.50 $16.03 $817.53
Employee+Spouse $1,122.11 $22.44 $1,144.55
Employee+Children $1,175.55 $23.51 $1,199.06
Employee+Family $1,530.95 $30.62 $1,561.57

Cigna HDHP $1750

Total Monthly Premiums COBRA 2% Admin. Fee COBRA Monthly Cost
Employee $670.88 $13.42 $684.30
Employee+Child $1,006.31 $20.13 $1,026.44
Employee+Spouse $1,408.86 $28.18 $1,437.04
Employee+Children $1,475.94 $29.52 $1,505.46
Employee+Family $1,922.16 $38.44 $1,960.60

Cigna Traditional

Total Monthly Premiums COBRA 2% Admin. Fee COBRA Monthly Cost
Employee $667.93 $13.36 $681.29
Employee+Child $1,001.88 $20.04 $1,021.92
Employee+Spouse $1,402.64 $28.05 $1,430.69
Employee+Children $1,469.44 $29.39 $1,498.83
Employee+Family $1,913.70 $38.27 $1,951.97

Delta Dental: Base Plan

Total Monthly Premiums COBRA 2% Admin. Fee COBRA Monthly Cost
Employee Only $22.23 $0.44 $22.67
Employee+Child $40.27 $0.81 $41.08
Employee+Spouse $40.27 $0.81 $41.08
Employee+Family $68.95 $1.38 $70.33

Delta Dental: Enhanced Plan

Total Monthly Premiums COBRA 2% Admin. Fee COBRA Monthly Cost
Employee Only $32.85 $0.66 $33.51
Employee+Child $59.51 $1.19 $60.70
Employee+Spouse $59.51 $1.19 $60.70
Employee+Family $101.89 $2.04 $103.93

Anthem UniView Vision

Total Monthly Premiums COBRA 2% Admin. Fee COBRA Monthly Cost
Employee Only $4.83 $0.10 $4.93
Employee+Child $8.45 $0.17 $8.62
Employee+Spouse $8.45 $0.17 $8.62
Employee+Children $9.66 $0.19 $9.85
Employee+Family $14.06 $0.28 $14.34