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 and dental plans. 

Base High Deductible $4,000

2024 Total Monthly Premiums COBRA Cost 2% Adm. Fee COBRA Monthly Cost
Employee 559.29 $11.19 $570.48
Employee+Child $838.93 $16.78 $855.71
Employee+Spouse $1,174.51 $23.49 $1,198.00
Employee+Spouse w/ surcharge $1,174.51 $23.49  
Employee+Children $1,230.44 $24.61 $1,255.05
Employee+Family $1,602.44 $32.05 $1,634.49
Employee+Family w/ surcharge $1,602.44 $32.05  

Value High Deductible $2,500

2024 Total Monthly Premiums COBRA Cost 2% Adm. Fee COBRA Monthly Cost
Employee $676.85 $13.54 $690.39
Employee+Child $1,015.25 $20.31 $1,035.56
Employee+Spouse $1,421.38 $28.43 $1,449.81
Employee+Spouse w/ surcharge $1,421.38 $28.43  
Employee+Children $1,489.06 $29.78 $1,518.84
Employee+Family $1,939.24 $38.78 $1,978.02
Employee+Family w/ surcharge $1,939.24 $38.78  

Choice Open Access 

2024 Total Monthly Premiums COBRA Cost 2% Adm. Fee COBRA Monthly Cost
Employee $707.67 $14.15 $721.82
Employee+Child $1,061.49 $21.23 $1,082.72
Employee+Spouse $1,486.10 $29.72 $1,515.82
Employee+Spouse w/ surcharge $1,486.10 $29.72  
Employee+Children $1,556.87 $31.14 $1,588.01
Employee+Family $2,027.57 $40.55 $2,068.12
Employee+Family w/ surcharge $2,027.57 $40.55  

Delta Dental - Base Plan

2024 Total Monthly Premiums COBRA Cost 2% Adm. 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

2024 Total Monthly Premiums COBRA Cost 2% Adm. 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

BlueView Vision

2024 Total Monthly Premiums COBRA Cost 2% Adm. 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