The Seal of the Office of the State Comptroller
COMPTROLLER'S MEMORANDUM NO. 99-26

May 21, 1999

TO THE HEADS OF ALL STATE AGENCIES

ATTENTION: Personnel and Payroll Officers
SUBJECT: 1999-2000 COBRA Continuation Coverage Rates

The following are the new MONTHLY rates for COBRA continuation coverage, effective July 1, 1999:

Plan Individual One Dependent Family
Blue Cross State Preferred $347.65 $764.83 $938.64
Blue Cross Out of Area $339.12 $746.06 $915.62
State BlueCare POS $244.36 $537.59 $659.78
State BlueCare POE $231.89 $510.14 $626.08
State BlueCare POE Plus $221.44 $487.17 $597.89
PHS Charter POS $226.05 $497.35 $610.37
PHS Charter HMO $219.75 $483.46 $593.31
PHS Passport HMO $215.33 $473.75 $581.41
MedSpan P.O.S $230.53 $507.18 $622.46
MedSpan P.O.E $207.40 $456.27 $559.97
MedSpan P.O.E Gated* $203.25 $447.14 $548.76
Kaiser Foundation $192.38 $423.24 $519.44
Blue Cross Indemnity Dental A & C $22.95 $70.10 $70.10
Blue Cross Indemnity Dental A, B & C $29.06 $81.52 $81.52
CIGNA Dental $15.65 $34.43 $42.25
All Rates include a 2% administrative fee
* available after January 2000, only to those enrolled in MedSpan POE prior to that date

Form CO-1022 (revised 5/99)"Group Health Insurance Continuation Coverage Election" is to be used to notify employees and/or beneficiaries of their right to continue health benefits for all plans except CIGNA Dental. It is important that both sides of the form are given to the employee/beneficiary. Previous versions of this form should be discarded. Form CO-1022-1 "CIGNA Dental COBRA Application" (revised 11/97) is to be used to notify those enrolled in CIGNA Dental. Your Agency business office can order both forms through the state's forms management program, Vanguard Direct, 1- (800) 369-0570 after July 1, 1999.

Questions concerning this matter should be directed to the Retirement and Benefit Services Division, Health Care Analysis Unit, at (860) 702-3535.

Very truly yours,
Nancy Wyman
State Comptroller
  NW/SW/WM

Back to Comptroller's Home Page
Back to Index of Comptroller's Memoranda