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County of Sonoma, California

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COBRA Rates

COBRA Rates - With 2% Administration Charge
Effective: June 1, 2012 through May 31, 2013

Monthly Cost
Single 2 Party Family
CHP PPO $988.94 $1,943.96 $2,716.57
CHP EPO $813.01 $1,588.15 $2,215.28
Kaiser Permanente $10 CoPay $642.92 $1,285.83 $1,819.46

Vision and Dental Rates - With 2% Administration Charge
Effective: June 1, 2012 through May 31, 2013

Monthly Cost
Family
Vision Service Plan $16.55
Delta Dental Premier $138.73

COBRA Rates - With 2% Administration Charge
Effective: June 1, 2011 through May 31, 2012

Monthly Cost Cost per Day
Single 2 Party Family Single 2 Party Family
CHP PPO $833.15 $1,637.70 $2,288.59 $27.41 $53.86 $75.26
CHP EPO $684.93 $1,337.95 $1,866.28 $22.54 $44.01 $61.38
Kaiser Permanente $10 CoPay $556.89 $1,113.78 $1,575.99 $18.33 $36.64 $51.83

Vision and Dental Rates - With 2% Administration Charge
Effective: June 1, 2011 through May 31, 2012

Monthly Cost Cost per Day
Vision Service Plan $17.54 $0.60
Delta Dental Premier $138.73 $4.58

Resources

COBRA Continuation Coverage

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