Teamsters Western Region & Local 177 | Benefits | Cobra

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COBRA Rates

Effective 1/1/18 through 12/31/18

Monthly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Monthly Rate

 Standard (18 or 36 Months):

Dependent of Retiree

$1,524

 Extension (11 Month  Disability):

Dependent of Retiree

$2,241

 

 

Weekly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Composite

$303

 Extension (11 Month  Disability):

Composite

$446

 

 

Weekly Rates to Continue Coverage under Kaiser - California:

Coverage Description

Rate Type

Weekly Rate

Standard (18 or 36 Months):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$128

$269

$230

$371

 Extension (11 Month  Disability):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$189

$396

$339

$546

 

 

Weekly Rates to Continue Coverage under Kaiser - Hawaii:

Coverage Description

Rate Type

Weekly Rate

Standard (18 or 36 Months):

Employee Only

Employee + Family

$176

$352

Extension (11 Month Disability):

Employee Only

Employee + Family

$259

$517

 
TWR COBRA Sample Notice