COBRA — Medical

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COBRA premium rates are paid for by the participant. The CSU does not pay any portion of the COBRA premium. Rates are calculated at 102%.

CalPERS COBRA Group Continuation Coverage Medical Rates for January 1, 2009 to December 31, 2009.
Plan Code
Plan Name
Monthly COBRA Premium
Emp.
EE + 1
EE 2 +
205 Blue Shield HMO
$515.12
$1,030.24
$1,339.31
042 Blue Shield NetValue
$455.33
$910.66
$1,183.85
56 Kaiser
$481.31
$962.61
$1,251.40
-- Kaiser Out-of-State*
$673.53
$1,347.05
$1,751.17
278 PERSCARE
$757.26
$1,514.52
$1,968.88
222 PERS Choice
$487.25
$974.51
$1,266.86
045 PERS Select
$457.64
$915.29
$1,189.87
207 PORAC**
$493.88
$924.12
$1,174.02

*These premiums cover all Regions of Kaiser Out-of-State.

**Enrollment Eligibility based on Association membership.

 

  • General COBRA Information
  •    

    Content Contact:
    Human Resources Administration
    (562) 951-4411
    Technical Contact:
    webmaster@calstate.edu

    Last Updated: December 11, 2008


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