|
|
State Employee Health Plans
2008 Monthly COBRA Insurance Rates
| Blue Cross and Blue Shield - Plan A |
Blue Cross and Blue Shield - Plan B |
| Coverage Level |
Without Dependent Dental |
With Dependent Dental |
|
Coverage Level |
Without Dependent Dental |
With Dependent Dental |
| Individual Only |
390.22 |
N/A |
|
Individual Only |
431.04 |
N/A |
| Individual & Spouse |
753.54 |
780.45 |
|
Individual & Spouse |
835.18 |
862.09 |
| Individual & Child(ren) |
680.88 |
702.40 |
|
Individual & Child(ren) |
754.35 |
775.87 |
| Individual, Spouse & Child(ren) |
1,044.20 |
1,092.63 |
|
Individual, Spouse & Child(ren) |
1,158.49 |
1,206.92 |
| Coventry - Plan A |
Coventry
- Plan B |
| Coverage Level |
Without Dependent Dental |
With Dependent Dental |
|
Coverage Level |
Without Dependent Dental |
With Dependent Dental |
| Individual Only |
427.65 |
N/A |
|
Individual Only |
421.17 |
N/A |
| Individual & Spouse |
828.39 |
855.30 |
|
Individual & Spouse |
815.43 |
842.34 |
| Individual & Child(ren) |
748.24 |
769.76 |
|
Individual & Child(ren) |
736.59 |
758.11 |
| Individual, Spouse & Child(ren) |
1,148.98 |
1,197.41 |
|
Individual, Spouse & Child(ren) |
1,130.85 |
1,179.28 |
| Preferred Health Systems - Plan A |
Preferred Health Systems - Plan B |
| Coverage Level |
Without Dependent
Dental |
With Dependent Dental |
|
Coverage Level |
Without Dependent Dental |
With Dependent Dental |
| Individual Only |
384.68 |
N/A |
|
Individual Only |
412.43 |
N/A |
| Individual & Spouse |
742.44 |
769.35 |
|
Individual & Spouse |
797.95 |
824.86 |
| Individual & Child(ren) |
670.89 |
692.41 |
|
Individual &
Child(ren) |
720.85 |
742.37 |
Individual, Spouse & Child(ren) |
1,028.65 |
1,077.08 |
|
Individual, Spouse & Child(ren) |
1,106.37 |
1,154.80 |
| Coventry Qualified High Deductible Health Plan |
| Coverage Level |
Without Dependent
Dental |
With Dependent Dental |
|
| Individual Only |
230.25 |
N/A |
|
|
|
|
| Individual & Spouse |
433.58 |
460.49 |
|
|
|
|
| Individual & Child(ren) |
392.92 |
414.44 |
|
|
|
|
Individual, Spouse & Child(ren) |
596.25 |
644.68 |
|
|
|
|
| Kansas Senior Plan C |
Coventry Advantra |
| Coverage Level |
Without StatePrescription Drug Coverage |
With State Prescription Drug Coverage |
|
Coverage Level |
PPO |
PFFS |
PFFS W/O Prescription Drug |
| Member Only - Medicare |
195.18 |
314.52 |
|
Member Only - Medicare |
80.58 |
167.28 |
113.22 |
| Superior Vision Plan |
Superior Vision Plan |
Coverage
Level |
Basic Plan |
|
|
Coverage Level |
|
Enhanced Plan |
| Individual Only |
4.45 |
|
|
Individual Only |
|
7.41 |
| Individual & Spouse |
8.89 |
|
|
Individual & Spouse |
|
14.81 |
| Individual & Child(ren) |
8.01 |
|
|
Individual & Child(ren) |
|
13.33 |
| Individual, Spouse & Child(ren) |
12.45 |
|
|
Individual, Spouse & Child(ren) |
|
20.74 |
|