Teamsters Western Region & Local 177 | Benefits | Cobra
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2023 Weekly COBRA Rates
Effective 1/1/23 through 12/31/23
Weekly Rates to Continue Coverage under Aetna or BCBS: |
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Coverage Description |
Rate Type |
Weekly Rate |
Standard (18 or 36 Months): |
Composite |
$307 |
Extension (11 Month Disability): |
Composite |
$452 |
Monthly Rates to Continue Coverage under Aetna or BCBS: |
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Coverage Description |
Rate Type |
Monthly Rate |
Standard (18 or 36 Months): |
Dependent of Retiree |
$1,784 |
Extension (11 Month Disability): |
Dependent of Retiree |
$2,624 |
Weekly Rates to Continue Coverage under Kaiser - California: |
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Coverage Description |
Rate Type |
Weekly Rate |
Standard (18 or 36 Months): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$137 $287 $246 $396 |
Extension (11 Month Disability): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$201 $422 $362 $582 |
Weekly Rates to Continue Coverage under Kaiser - Hawaii: |
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Coverage Description |
Rate Type |
Weekly Rate |
Standard (18 or 36 Months): |
Employee Only Employee + Family |
$159 $317 |
Extension (11 Month Disability): |
Employee Only Employee + Family |
$233 $467 |
2022 Weekly COBRA Rates
Effective 1/1/22 through 12/31/22
Weekly Rates to Continue Coverage under Aetna or BCBS: |
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Coverage Description |
Rate Type |
Weekly Rate |
Standard (18 or 36 Months): |
Composite |
$287 |
Extension (11 Month Disability): |
Composite |
$422 |
Monthly Rates to Continue Coverage under Aetna or BCBS: |
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Coverage Description |
Rate Type |
Monthly Rate |
Standard (18 or 36 Months): |
Dependent of Retiree |
$1,733 |
Extension (11 Month Disability): |
Dependent of Retiree |
$2,549 |
Weekly Rates to Continue Coverage under Kaiser - California: |
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Coverage Description |
Rate Type |
Weekly Rate |
Standard (18 or 36 Months): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$143 $301 $258 $416 |
Extension (11 Month Disability): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$211 $443 $380 $612 |
Weekly Rates to Continue Coverage under Kaiser - Hawaii: |
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Coverage Description |
Rate Type |
Weekly Rate |
Standard (18 or 36 Months): |
Employee Only Employee + Family |
$168 $335 |
Extension (11 Month Disability): |
Employee Only Employee + Family |
$247 $493 |
2021 Weekly COBRA Rates
Effective 1/1/21 through 12/31/21
Weekly Rates to Continue Coverage under Aetna or BCBS: |
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Coverage Description |
Rate Type |
Weekly Rate |
Standard (18 or 36 Months): |
Composite |
$332 |
Extension (11 Month Disability): |
Composite |
$488 |
Monthly Rates to Continue Coverage under Aetna or BCBS: |
||
Coverage Description |
Rate Type |
Monthly Rate |
Standard (18 or 36 Months): |
Dependent of Retiree |
$1,648 |
Extension (11 Month Disability): |
Dependent of Retiree |
$2,424 |
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 |
$136 $285 $244 $394 |
Extension (11 Month Disability): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$200 $419 $360 $579 |
Weekly Rates to Continue Coverage under Kaiser - Hawaii: |
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Coverage Description |
Rate Type |
Weekly Rate |
Standard (18 or 36 Months): |
Employee Only Employee + Family |
$176 $353 |
Extension (11 Month Disability): |
Employee Only Employee + Family |
$260 $519 |