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 2009- 25

June 12, 2009

TO THE HEADS OF ALL STATE AGENCIES

ATTENTION: Personnel and Payroll Officers
SUBJECT: 2009 - 2010 COBRA Continuation Coverage Rates and Updated ARRA COBRA Rates

The following MONTHLY rates for COBRA continuation coverage are effective July 1, 2009.

All Rates include a 2% administrative fee

PLAN INDIVIDUAL INDIVIDUAL +1 FAMILY
Blue Cross State Preferred $789.63 $1,737.19 $2,132.01
Blue Cross Out of Area $756.15 $1,663.52 $2,041.60
State BlueCare POS $555.35 $1,221.77 $1,499.44
State BlueCare POE $537.92 $1,183.42 $1,452.38
State BlueCare POE Plus $535.84 $1,178.84 $1,446.76
Health Net Charter POS $529.37 $1,164.61 $1,429.30
Health Net Charter HMO $499.13 $1,098.08 $1,347.64
Health Net Passport HMO $504.83 $1,110.62 $1,363.04
Oxford Freedom Select POS $479.39 $1,054.66 $1,294.35
Oxford HMO Select POE $456.65 $1,004.64 $1,232.97
Oxford HMO $420.89 $925.96 $1,136.41
Oxford USA Out of Area $507.81 $1,117.18 $1,371.08
United Basic Dental $38.16 $116.38 $116.38
United Enhanced Dental PPO $35.11 $107.08 $107.08
CIGNA Dental DHMO $23.55 $51.82 $63.59
United Dental Judges $39.11 $118.88 $118.88

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. All medical plan rates include Caremark prescription drug coverage. Attached are the updated ARRA COBRA Rates for 2009-10 that are to be included with the standard Continuation Coverage Notice issued to ARRA-Eligible beneficiaries under Comptroller's Memorandum 2009-10.

Questions concerning this matter should be directed to the Healthcare Policy and 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
Attachment: ARRA_COBRA_Rates_2009-10.doc

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