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County of Sonoma, California

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County of Sonoma COBRA Benefit Rates

Effective: June 1, 2013 through May 31, 2014

Medical Benefit Monthly Rates:

Self Self + 1 Family
CHP PPO $1,026.52 $2,017.83 $2,819.80
CHP EPO $843.91 $1,648.50 $2,299.46
Kaiser $642.92 $1,285.83 $1,819.46

Vision and Dental Benefit Monthly Rates

Family
Vision Service Plan $16.55
Delta Dental Premier $138.73

Employee Assistance Program Benefit Monthly Rate:

EAP $3.18

Effective: June 1, 2012 through May 31, 2013

Medical Benefit Monthly Rates

Self Self + 1 Family
CHP PPO $988.94 $1,943.96 $2,716.57
CHP EPO $813.01 $1,588.15 $2,215.28
Kaiser $10 Co-Pay $642.92 $1,285.83 1,819.46

Vision and Dental Benefit Monthly Rates

Family
Vision Service Plan $16.55
Delta Dental Premier $138.73

Employee Assistance Program Benefit Monthly Rate:

EAP $3.00

Resources

COBRA Continuation Coverage

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