County of Sonoma, California
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County of Sonoma COBRA Benefit Rates

Effective: June 1, 2014 through May 31, 2015

Medical Benefit Monthly Rates:

SelfSelf + 1Family
CHP PPO$1,026.52$2,017.83$2,819.80
CHP EPO$843.91$1,648.50$2,299.46
Kaiser$662.21$1,324.41$1874.04

Vision and Dental Benefit Monthly Rates

Family
Vision Service Plan$15.80
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

SelfSelf + 1Family
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$1,285.831,819.46

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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