| Continuing Coverage through COBRA |
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| Medical & Dental Insurance |
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Eligibility
If you are participating in a PEBB medical and dental benefit program and you end state service, generally you and your dependents will be eligible to continue your coverage through COBRA. COBRA stands for the Consolidated Omnibus Budget Reconciliation Act. Through COBRA, former employees and their dependents can continue coverage for a period of time in the employer’s group medical and dental insurance plans.
Cost
The state´s contribution to your benefits ends when your state employment ends. Your insurance coverage end date depends on the hours you work in the month you terminate your employment, see your payroll or benefits representative to determine that date. If you continue coverage through COBRA, you will be responsible for the entire insurance premium cost plus an administrative fee of 2 percent of the premium. You will need to submit your premium payments to PEBB's third-party administrator, BenefitHelp Solutions (BHS).
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| 2009 COBRA Participant Medical Plan Monthly Premium Rates |
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Self |
Self & Spouse/Partner |
Self & Children |
Self & Family |
Kaiser Permanente HMO1
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$770.75 |
$1,032.81 |
$886.37 |
$1,055.93 |
Kaiser Permanente Added Choice POS2
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815.37 |
1,092.59 |
937.67 |
1,117.05 |
ProvidenceChoice PPO3
|
764.97 |
1,025.02 |
879.72 |
1,047.99 |
Regence BCBSO PPO3
|
849.93 |
1,138.77 |
977.36 |
1,164.28 |
Kaiser Permanente Part-time & Retiree HMO4
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652.47 |
874.31 |
750.34 |
893.89 |
Kaiser Permanente Added Choice Part-time & Retiree POS4
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659.68 |
883.97 |
758.63 |
903.76 |
ProvidenceChoice Part-time & Retiree PPO5
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604.70 |
810.29 |
695.41 |
828.44 |
Regence BCBSO Part-time & Retiree PPO5
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675.20 |
904.68 |
776.44 |
924.96 |
1 Kaiser Permanente HMO routine vision services
2 Routine vision services only through Kaiser Permanente HMO
3 Routine vision services through VSP
4 Vision exam only
5 No vision benefit
| 2009 COBRA Participant Dental Plan Monthly Premium Rates |
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Self |
Self & Spouse/Partner |
Self & Children |
Self & Family |
Kaiser Permanente Indemnity
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$71.20 |
$95.41 |
$81.88 |
$97.54 |
ODS Preferred
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69.74 |
93.46 |
80.20 |
95.55 |
ODS Traditional
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75.50 |
101.18 |
86.83 |
103.44 |
Willamette Dental Group
|
76.24 |
102.16 |
87.68 |
104.45 |
Kaiser Permanente Indemnity
Part-time & Retiree
|
53.07 |
71.11 |
61.03 |
72.71 |
ODS Part-time & Retiree
|
54.33 |
72.81 |
62.48 |
74.44 |
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