County of Sonoma, California
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County of Sonoma COBRA Benefit Rates

Effective: June 1, 2016 through May 31, 2017

Medical Benefit Monthly Rates

PlanSelfSelf + 1Family
CHP EPO$1,088.73$2,126.76$2,966.57
CHP PPO$1,322.10$2,598.88$3,631.79
Kaiser $10 Co-Pay$709.35$1,418.72$2,007.48
Kaiser Deductible First$529.99$1,059.98$1,499.89
Kaiser Hospital Services$571.14$1,142.28$1,616.35
Sutter Health Plus$586.56$1,173.20$1,660.25
Western Health Advantage$680.71$1,361.41$1,926.41

Vision and Dental Benefit Monthly Rates

Vision and Dental Benefit Monthly Rates
Vision and Dental Benefit Monthly Rates
Vision Service Plan$16.24$16.24$16.24
Vision Service Plan (Enhanced)$16.95$16.95$16.95
Delta Dental Premier$138.72$138.72$138.72
Delta Dental Premier (Enhanced)$142.23$142.23$142.23

Employee Assistance Program Benefit Monthly Rate

MHN EAP$3.18

Resources

COBRA Continuation Coverage

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