|
|
State Employee Health Plans
2007 Monthly COBRA Insurance Rates
| Kansas Choice |
Coventry
Health Care - PPO |
| Coverage Level |
Without Dependent Dental |
With Dependent Dental |
|
Coverage Level |
Without Dependent Dental |
With Dependent Dental |
| Individual Only |
431.15 |
N/A |
|
Individual Only |
421.17 |
N/A |
| Individual & Spouse |
835.38 |
862.29 |
|
Individual & Spouse |
815.43 |
842.34 |
| Individual & Child(ren) |
754.54 |
776.06 |
|
Individual & Child(ren) |
736.59 |
758.11 |
| Individual, Spouse & Child(ren) |
1,158.77 |
1207.20 |
|
Individual, Spouse & Child(ren) |
1130.85 |
1,179.28 |
| Preferred Plus of Kansas - HMO |
Coventry
- HMO |
| Coverage Level |
Without Dependent Dental |
With Dependent Dental |
|
Coverage Level |
Without Dependent Dental |
With Dependent Dental |
| Individual Only |
384.68 |
N/A |
|
Individual Only |
444.37 |
N/A |
| Individual & Spouse |
742.44 |
769.35 |
|
Individual & Spouse |
861.82 |
888.73 |
| Individual & Child(ren) |
670.89 |
692.41 |
|
Individual & Child(ren) |
778.33 |
799.85 |
| Individual, Spouse & Child(ren) |
1,028.65 |
1,077.08 |
|
Individual, Spouse & Child(ren) |
1,195.79 |
1,244.22 |
| Premier Blue - HMO |
Coventry
QHDHP with HSA |
| Coverage Level |
Without Dependent
Dental |
With Dependent Dental |
|
Coverage Level |
Without Dependent Dental |
With Dependent Dental |
| Individual Only |
390.22 |
N/A |
|
Individual Only |
230.25 |
N/A |
| Individual & Spouse |
753.54 |
780.45 |
|
Individual & Spouse |
433.58 |
460.49 |
| Individual & Child(ren) |
680.88 |
702.40 |
|
Individual & Child(ren) |
392.92 |
414.44 |
| Individual, Spouse & Child(ren) |
1,044.20 |
1,092.63 |
|
Individual, Spouse & Child(ren) |
596.25 |
644.68 |
| Kansas Senior Plan C |
Coventry
Advantra |
| Coverage Level |
No Prescription Plan |
|
Coverage Level |
Advantra 1 |
Advantra 2 |
| Member Only - Medicare |
189.09 |
|
Member Only - Medicare |
83.01 |
169.71 |
| Member & Spouse - MER |
378.18 |
|
Member & Spouse - MER |
166.02 |
339.42 |
| Member & Family - All MER |
561.88 |
|
Member & Child(ren)- All MER |
216.73 |
476.83 |
| 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 |
|