COBRA — Medical

(NOTE: On-line documents are in Portable Document Format (PDF) and
require Adobe Acrobat Reader to view, unless otherwise noted.)

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, 2015 to December 31, 2015.
Plan Code
Plan Name
Monthly COBRA Premium
Emp.
EE + 1
EE +22
181/195 Anthem Select HMO
$652.24
$1,304.48
$1,695.82
180/194 Anthem Traditional HMO
$741.89
$1,483.77
$1,928.90
127/128 Anthem EPO
$653.26
$1,306.52
$1,698.47
141/205 Blue Shield Access+
$732.52
$1,465.05
$1,904.56
042/146 Blue Shield NetValue
$683.77
$1,367.53
$1,777.80
191 Blue Shield Access+ EPO
$732.52
$1,465.05
$1,904.56
184 Health Net Salud y Mas
$546.69
$1,093.38
$1,421.39
185 Health Net SmartCare
$684.90
$1,369.80
$1,780.74
056 Kaiser (CA)
$645.70
$1,291.40
$1,678.82
varies Kaiser Out-of-State
$941.24
$1,882.47
$2,447.21
222 PERS Choice
$653.26
$1,306.52
$1,698.47
045 PERS Select
$630.58
$1,261.17
$1,639.52
278 PersCare
$733.31
$1,466.62
$1,906.60
207 PORAC
$688.50
$1,317.84
$1,674.84
189 Sharp
$598.11
$1,196.22
$1,555.08
187 UnitedHealthcare
$655.25
$1,310.50
$1,703.64

 

 

 

  • General COBRA Information
  •    

    Content Contact:
    Benefits Insider
    (562) 951-4411
    Technical Contact:
    webmaster@calstate.edu

    Last Updated: January 24, 2013


    HR Home | HR Admin | Bargaining Agreements | Benefits | Class Standards 
    Coded Memos | HIPAA | Payroll | Policies | Salary Programs | Salary Schedule