COMPTROLLER
55 ELM STREET
HARTFORD, CONNECTICUT 06106-1775
DEPUTY COMPTROLLER
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| STATE OF CONNECTICUT | ||
| NANCY WYMAN COMPTROLLER |
OFFICE OF
THE STATE COMPTROLLER 55 ELM STREET HARTFORD, CONNECTICUT 06106-1775 |
MARK OJAKIAN DEPUTY COMPTROLLER |
MEMORANDUM NO. 96-22
April 24, 1996
TO THE HEADS OF ALL STATE AGENCIES
| ATTENTION: | Personnel and Payroll Officers |
| SUBJECT: | 1996 - 1997 COBRA Continuation Coverage Rates |
The following new MONTHLY rates are for continuation coverage under COBRA, effective July 1, 1996.
| Subscriber | Subscriber Plus One | Family | |
|---|---|---|---|
| 1. Blue Cross Preferred (POS) Plan | $197.88 | $514.49 | $514.49 |
| 2. Blue Cross Premier (POE) Plan | $188.98 | $415.75 | $510.23 |
| 3. M.D. Health Plan | $188.89 | $415.57 | $510.01 |
| 4. Blue Cross Advantage | $178.72 | $393.19 | $482.56 |
| 5. Kaiser Permanente | $182.87 | $406.31 | $415.94 |
| 6. Blue Cross Dental with A & C Riders | $ 18.63 | $ 56.90 | $ 56.90 |
| 7. Blue Cross Dental with A, B & C Riders | $ 23.58 | $ 66.16 | $ 66.16 |
| 8. CIGNA Dental | $ 15.00 | $ 28.37 | $ 40.76 |
The above rates include a 2 percent administration fee.
A revised Form CO-1022, Group Health Insurance Continuation Coverage Election , is attached to this memo, and should be duplicated for agency use in notification to employees. Previous versions of this form should be discarded.
Questions concerning this matter should be directed to the Retirement and Benefit Services Division, at 566-1831.
NANCY WYMAN
STATE COMPTROLLER
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