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Campus Box 8107
Pocatello, ID 83209-8107
Phone (208) 282-2517
Fax (208) 282-4976
Email: hr@isu.edu

Benefits: Insurance: COBRA

COBRA Premiums
COBRA Rights
Enrollment
Payment of Premium

COBRA Rights - Continuing Health Care Coverage

After your eligibility for group health care coverage ends, you may be able to purchase continued medical and dental coverage on an individual basis, for a period of time under the Consolidated Omnibus Budget Reconciliation Act of 1985, (COBRA).

Enrollment

To continue coverage, you must complete a COBRA Election Form within 60 days after their group coverage terminates. The COBRA participant must pay the required monthly costs for the continuation of coverage. If you have any questions or need COBRA enrollment forms, contact the Office of Group Insurance, (800) 531-0597, ogi@adm.state.id.us

COBRA Monthly Premiums
7/1/2005 - 6/30/2006

Medical Coverage

 Blue Cross of Idaho Traditional Blue Cross of Idaho PPO
Subscriber
$345.00
$365.00
Subscriber Plus Spouse, with Dependent Vision
$681.00
$719.00
Subscriber Plus Spouse, without Dependent Vision
$679.00
$717.00
Subscriber Plus One Child, with Dependent Vision
$481.00
$508.00
Subscriber Plus One Child, without Dependent Vision
$479.00
$506.00
Subscriber Plus Two or More Children, with Dependent Vision
$681.00
$719.00
Subscriber Plus Two or More Children, without Dependent Vision
$679.00
$717.00
Subscriber, Spouse and Child, with Dependent Vision
$818.00
$863.00
Subscriber, Spouse and Child, without Dependent Vision
$812.00
$858.00
Subscriber, Spouse and Children, with Dependent Vision
$1,018.00
$1,075.00
Subscriber, Spouse and Children, without Dependent Vision
$1,012.00
$1,070.00


Dental Coverage

Delta Dental
Subscriber
$23.00
Subscriber Plus Spouse
$45.00
Subscriber Plus One Child
$32.00
Subscriber Plus Two or More Children
$45.00
Subscriber, Spouse and One Child
$54.00
Subscriber, Spouse and Children
$68.00

PAYMENT OF PREMIUM

The COBRA payments are administered through the Office of Group Insurance, 208-332-1860, ogi@adm.state.id.us

To determine when coverage ends for an active employee, click When Coverage Ends.