MMC Benefits Handbook
COBRA Rates
Medical COBRA Rates
Aetna: $400 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Narrow Network Monthly Cost
Employee
$686.52
$671.89
Employee + Spouse/Domestic Partner
$1,647.67
$1,612.55
Employee + Child(ren)
$1,373.05
$1,343.79
Employee + Family
$2,402.83
$2,351.62
Anthem BlueCross BlueShield: $400 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Employee
$686.52
Employee + Spouse/Domestic Partner
$1,647.67
Employee + Child(ren)
$1,373.05
Employee + Family
$2,402.83
UnitedHealthcare: $400 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Narrow Network Monthly Cost
Employee
$686.52
$671.89
Employee + Spouse/Domestic Partner
$1,647.67
$1,612.55
Employee + Child(ren)
$1,373.05
$1,343.79
Employee + Family
$2,402.83
$2,351.62
Aetna: $900 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Narrow Network Monthly Cost
Employee
$636.56
$622.99
Employee + Spouse/Domestic Partner
$1,527.74
$1,495.18
Employee + Child(ren)
$1,273.11
$1,245.98
Employee + Family
$2,227.95
$2,180.46
Anthem BlueCross BlueShield: $900 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Employee
$636.56
Employee + Spouse/Domestic Partner
$1,527.74
Employee + Child(ren)
$1,273.11
Employee + Family
$2,227.95
UnitedHealthcare: $900 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Narrow Network Monthly Cost
Employee
$636.56
$622.99
Employee + Spouse/Domestic Partner
$1,527.74
$1,495.18
Employee + Child(ren)
$1,273.11
$1,245.98
Employee + Family
$2,227.95
$2,180.46
Aetna: $1,500 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Narrow Network Monthly Cost
Employee
$584.53
$571.99
Employee + Spouse/Domestic Partner
$1,402.90
$1,372.77
Employee + Child(ren)
$1,169.07
$1,143.97
Employee + Family
$2,045.88
$2,001.94
Anthem BlueCross BlueShield: $1,500 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Employee
$584.53
Employee + Spouse/Domestic Partner
$1,402.90
Employee + Child(ren)
$1,169.07
Employee + Family
$2,045.88
UnitedHealthcare: $1,500 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Narrow Network Monthly Cost
Employee
$584.53
$571.99
Employee + Spouse/Domestic Partner
$1,402.90
$1,372.77
Employee + Child(ren)
$1,169.07
$1,143.97
Employee + Family
$2,045.88
$2,001.94
Aetna: $2,850 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Narrow Network Monthly Cost
Employee
$512.23
$501.21
Employee + Spouse/Domestic Partner
$1,229.37
$1,202.92
Employee + Child(ren)
$1,024.47
$1,002.44
Employee + Family
$1,792.82
$1,754.26
Anthem BlueCross BlueShield: $2,850 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Employee
$512.23
Employee + Spouse/Domestic Partner
$1,229.37
Employee + Child(ren)
$1,024.47
Employee + Family
$1,792.82
UnitedHealthcare: $2,850 Deductible Plan
Coverage Level
Broad Network Monthly Cost
Narrow Network Monthly Cost
Employee
$512.23
$501.21
Employee + Spouse/Domestic Partner
$1,229.37
$1,202.92
Employee + Child(ren)
$1,024.47
$1,002.44
Employee + Family
$1,792.82
$1,754.26
Kaiser: $400 Deductible Plan
Coverage Level
2020 Monthly Cost
Employee Only
$571.83
Employee + Spouse/Domestic Partner
$1,372.40
Employee + Child(ren)
$1,143.66
Employee + Family
$2,001.41
Kaiser: $900 Deductible Plan
Coverage Level
2020 Monthly Cost
Employee Only
$494.54
Employee + Spouse/Domestic Partner
$1,186.89
Employee + Child(ren)
$989.07
Employee + Family
$1,730.88
Kaiser: $1,500 Deductible Plan
Coverage Level
2020 Monthly Cost
Employee Only
$430.01
Employee + Spouse/Domestic Partner
$1,032.03
Employee + Child(ren)
$860.02
Employee + Family
$1,505.04
Kaiser: $2,850 Deductible Plan
Coverage Level
2020 Monthly Cost
Employee Only
$390.38
Employee + Spouse/Domestic Partner
$936.92
Employee + Child(ren)
$780.77
Employee + Family
$1,366.35
HMSA Preferred Provider Plan – Hawaii PPP
Coverage
2020 Monthly Cost
Employee Only
$663.96
Employee + Spouse/Domestic Partner
$1,593.51
Employee + Child(ren)
$1,327.92
Employee + Family
$2,323.89
HMSA Health Plan Hawaii Plus – Hawaii HMO
Coverage Level
2020 Monthly Cost
Employee Only
$649.82
Employee + Spouse/Domestic Partner
$1,559.58
Employee + Child(ren)
$1,299.64
Employee + Family
$2,274.40
Dental COBRA Rates
MetLife Premier Plan
Coverage Level
2020 Monthly Cost
Employee Only
$50.52
Employee + Spouse/Domestic Partner
$121.25
Employee + Child(ren)
$101.04
Employee + Family
$176.83
MetLife Standard Plan
Coverage Level
2020 Monthly Cost
Employee Only
$40.29
Employee + Spouse/Domestic Partner
$96.69
Employee + Child(ren)
$80.58
Employee + Family
$141.00
Vision COBRA Rates
VSP High Option
Coverage Level
2020 Monthly Cost
Employee Only
$11.27
Employee + Spouse/Domestic Partner
$27.02
Employee + Child(ren)
$22.51
Employee + Family
$39.42
VSP Low Option
Coverage Level
2020 Monthly Cost
Employee Only
$6.97
Employee + Spouse/Domestic Partner
$16.74
Employee + Child(ren)
$13.95
Employee + Family
$24.42
Employee Assistance Program COBRA Rates
CIGNA Behavioral Health: Employee Assistance Program
Coverage Level
2020 Monthly Cost
Employee Only
$1.89
Employee + Spouse/Domestic Partner
$1.89
Employee + Child(ren)
$1.89
Employee + Family
$1.89