STATE OF CONNECTICUT
COMPTROLLER
OFFICE OF
THE STATE COMPTROLLER
55 ELM STREET
HARTFORD, CONNECTICUT 06106-1775
DEPUTY COMPTROLLER
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STATE OF CONNECTICUT |
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| NANCY WYMAN COMPTROLLER |
OFFICE OF
THE STATE COMPTROLLER |
MARK OJAKIAN DEPUTY COMPTROLLER |
May 22, 1997
TO THE HEADS OF ALL STATE AGENCIES
| ATTENTION: | Personnel and Payroll Officers |
| SUBJECT: | 1997 - 1998 COBRA Continuation Coverage Rates |
The following new MONTHLY rates are for continuation coverage under COBRA, effective July 1, 1997.
| Subscriber | Subscriber Plus One | Family | ||
| 1 | Blue Cross State Preferred | $245.86 | $540.89 | $663.82 |
| 2 | M.D. Health Plan | $188.89 | $415.57 | $510.01 |
| 3 | State BlueCare Point of Enrollment | $201.36 | $442.99 | $543.67 |
| 4 | Blue Cross Out of Area | $245.86 | $540.89 | $663.82 |
| 5 | State BlueCare Point of Service | $223.73 | $492.20 | $604.06 |
| 6 | Kaiser Permanente | $182.87 | $406.31 | $415.94 |
| 7 | Blue Cross Indemnity A & C | $19.56 | $59.75 | $59.75 |
| 8 | Blue Cross Indemnity A, B & C | $24.77 | $69.48 | $69.48 |
| 9 | CIGNA | $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 and/or beneficiaries. It is important that both sides of the form are given to the employee/beneficiary. Previous versions of this form should be discarded.
Questions concerning this matter should be directed to the Retirement and Benefit Services Division, Health Care Analysis Unit, at (860) 702-3538.
Very truly yours,
Nancy Wyman
State Comptroller
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