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, 2013 to December 31, 2013.
Plan Code
Plan Name
Monthly COBRA Premium
Emp.
EE + 1
EE +22
205 Blue Shield HMO
$689.63
$1,379.26
$1,793.05
141 Blue Shield Advantage
$689.63
$1,379.26
$1,793.05
042 Blue Shield NetValue
$589.07
$1,178.14
$1,531.58
146 Blue Shield NetValue Advantage
$589.07
$1,178.14
$1,531.58
056 Kaiser
$621.53
$1,243.05
$1,615.97
--- Kaiser Out-of-State*
$893.99
$1,787.98
$2,324.38
278 PERSCARE
$1,050.16
$2,100.32
$2,730.42
222 PERS Choice
$646.74
$1,293.48
$1,681.53
045 PERS Select
$472.38
$944.76
$1,228.19
207 PORAC**
$592.62
$1,109.76
$1,409.64

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

**Enrollment Eligibility based on Association membership.

 

  • General COBRA Information
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    Technical Contact:
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    Last Updated: January 24, 2013


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