State of Connecticut Office of the State Comptroller MEMORANDUM NO. 2007-16
COMPTROLLER'S SEAL STATE OF CONNECTICUT

STATE OF CONNECTICUT

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

COMPTROLLER'S MEMORANDUM NO. 2007 - 16

May 14, 2007

TO THE HEADS OF ALL STATE AGENCIES

ATTENTION: Personnel and Payroll Officers
SUBJECT: 2007 - 2008 COBRA Continuation Coverage Rates

The following MONTHLY rates for COBRA continuation coverage are effective July 1, 2007:

PLAN INDIVIDUAL SUBSCRIBER
& ONE DEPENDENT
FAMILY
Anthem State Preferred $676.05 $1,487.30 $1,825.32
Anthem BlueCare POS $517.28 $1,138.02 $1396.66
Anthem BlueCare POE $497.19 $1,093.82 $1,342.41
Anthem BlueCare POE Plus $489.65 $1,077.23 $1,322.06
Anthem Out of Area $623.89 $1,372.57 $1,684.51
Health Net Charter POS $507.13 $1,115.69 $1,369.26
Health Net Charter HMO $478.81 $1,053.38 $1,292.78
Health Net Passport HMO $484.15 $1,065.14 $1,307.21
Oxford Freedom Select POS $458.55 $1,008.81 $1,238.09
Oxford HMO Select POE $437.36 $962.18 $1,180.86
Oxford HMO $404.05 $888.92 $1,090.94
Oxford USA Out of Area $485.01 $1,067.02 $1,309.53
United Basic Dental $32.79 $100.01 $100.01
United Enhanced Dental $30.16 $91.99 $91.99
Aetna Dental DMO? $22.60 $49.73 $61.03
United Dental Judges $33.60 $102.06 $102.06

All Rates include a 2% administrative fee

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.

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

Very truly yours,

Nancy Wyman
State Comptroller

NW/TW

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