County of Sonoma, California
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County of Sonoma COBRA Benefit Rates

Effective: June 1, 2015 through May 31, 2016

Medical Benefit Monthly Rates

 SelfSelf + 1Family
CHP EPO$1,080.16$2,123.27$2,967.15
CHP EPO$889.49$1,737.56$2,423.67
Kaiser $10 Co-Pay$668.70$1,337.40$1,892.42
Kaiser Deductible First$499.62$999.24$1,413.93
Kaiser Hospital Services$538.41$1,076.82$1,523.71

Vision and Dental Benefit Monthly Rates

Family
Vision Service Plan$16.42
Delta Dental Premier$136.01

Employee Assistance Program Benefit Monthly Rate:

EAP$3.12

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

Resources

COBRA Continuation Coverage

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