MMC Benefits Handbook
COBRA Rates
2021 Medical COBRA Rates
Aetna: $400 Deductible Plan
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$715.79
$687.09
Employee + Spouse/Domestic Partner
$1,717.86
$1,649.02
Employee + Child(ren)
$1,431.55
$1,374.18
Employee + Family
$2,505.22
$2,404.82
Anthem BlueCross BlueShield: $400 Deductible Plan
 
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$715.79
$687.09
Employee + Spouse/Domestic Partner
$1,717.86
$1,649.02
Employee + Child(ren)
$1,431.55
$1,374.18
Employee + Family
$2,505.22
$2,404.82
UnitedHealthcare: $400 Deductible Plan
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$715.79
$687.09
Employee + Spouse/Domestic Partner
$1,717.86
$1,649.02
Employee + Child(ren)
$1,431.55
$1,374.18
Employee + Family
$2,505.22
$2,404.82
Aetna: $900 Deductible Plan
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$663.72
$637.13
Employee + Spouse/Domestic Partner
$1,592.94
$1,529.11
Employee + Child(ren)
$1,327.45
$1,274.25
Employee + Family
$2,323.03
$2,229.93
Anthem BlueCross BlueShield: $900 Deductible Plan
 
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$663.72
$637.13
Employee + Spouse/Domestic Partner
$1,592.94
$1,529.11
Employee + Child(ren)
$1,327.45
$1,274.25
Employee + Family
$2,323.03
$2,229.93
UnitedHealthcare: $900 Deductible Plan
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$663.72
$637.13
Employee + Spouse/Domestic Partner
$1,592.94
$1,529.11
Employee + Child(ren)
$1,327.45
$1,274.25
Employee + Family
$2,323.03
$2,229.93
Aetna: $1,500 Deductible Plan
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$610.26
$585.65
Employee + Spouse/Domestic Partner
$1,464.61
$1,405.55
Employee + Child(ren)
$1,220.51
$1,171.30
Employee + Family
$2,135.89
$2,049.76
Anthem BlueCross BlueShield: $1,500 Deductible Plan
 
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$610.26
$585.65
Employee + Spouse/Domestic Partner
$1,464.61
$1,405.55
Employee + Child(ren)
$1,220.51
$1,171.30
Employee + Family
$2,135.89
$2,049.76
UnitedHealthcare: $1,500 Deductible Plan
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$610.26
$585.65
Employee + Spouse/Domestic Partner
$1,464.61
$1,405.55
Employee + Child(ren)
$1,220.51
$1,171.30
Employee + Family
$2,135.89
$2,049.76
Aetna: $2,850 Deductible Plan
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$534.76
$513.15
Employee + Spouse/Domestic Partner
$1,283.42
$1,231.57
Employee + Child(ren)
$1,069.51
$1,026.30
Employee + Family
$1,871.65
$1,796.04
Anthem BlueCross BlueShield: $2,850 Deductible Plan
 
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$534.76
$513.15
Employee + Spouse/Domestic Partner
$1,283.42
$1,231.57
Employee + Child(ren)
$1,069.51
$1,026.30
Employee + Family
$1,871.65
$1,796.04
UnitedHealthcare: $2,850 Deductible Plan
Coverage Level
2021 Broad Network Monthly Cost
2021 Narrow Network Monthly Cost
Employee
$534.76
$513.15
Employee + Spouse/Domestic Partner
$1,283.42
$1,231.57
Employee + Child(ren)
$1,069.51
$1,026.30
Employee + Family
$1,871.65
$1,796.04
Kaiser: $400 Deductible Plan
Coverage Level
2021 Monthly Cost
Employee Only
$592.65
Employee + Spouse/Domestic Partner
$1,422.36
Employee + Child(ren)
$1,185.30
Employee + Family
$2,074.28
Kaiser: $900 Deductible Plan
Coverage Level
2021 Monthly Cost
Employee Only
$514.23
Employee + Spouse/Domestic Partner
$1,234.16
Employee + Child(ren)
$1,028.47
Employee + Family
$1,799.82
Kaiser: $1,500 Deductible Plan
Coverage Level
2021 Monthly Cost
Employee Only
$446.45
Employee + Spouse/Domestic Partner
$1,071.49
Employee + Child(ren)
$892.91
Employee + Family
$1,562.59
Kaiser: $2,850 Deductible Plan
Coverage Level
2021 Monthly Cost
Employee Only
$405.32
Employee + Spouse/Domestic Partner
$972.76
Employee + Child(ren)
$810.63
Employee + Family
$1,418.62
HMSA Preferred Provider Plan – Hawaii PPP
Coverage
2021 Monthly Cost
Employee Only
$661.92
Employee + Spouse/Domestic Partner
$1,588.59
Employee + Child(ren)
$1,323.84
Employee + Family
$2,316.75
HMSA Health Plan Hawaii Plus – Hawaii HMO
Coverage Level
2021 Monthly Cost
Employee Only
$648.25
Employee + Spouse/Domestic Partner
$1,555.81
Employee + Child(ren)
$1,296.50
Employee + Family
$2,268.91
Dental COBRA Rates
MetLife Premier Plan
Coverage Level
2021 Monthly Cost
Employee Only
$51.23
Employee + Spouse/Domestic Partner
$122.95
Employee + Child(ren)
$102.46
Employee + Family
$179.31
MetLife Standard Plan
Coverage Level
2021 Monthly Cost
Employee Only
$40.85
Employee + Spouse/Domestic Partner
$98.04
Employee + Child(ren)
$81.70
Employee + Family
$142.98
Vision COBRA Rates
VSP High Option
Coverage Level
2021 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
2021 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
2021 Monthly Cost
Employee Only
$1.89
Employee + Spouse/Domestic Partner
$1.89
Employee + Child(ren)
$1.89
Employee + Family
$1.89
Health Advocate
Coverage Level
2021 Monthly Cost
Employee Only
$0.00
Employee + Spouse/Domestic Partner
$0.00
Employee + Child(ren)
$0.00
Employee + Family
$0.00
Teladoc Medical Experts
Coverage Level
2021 Monthly Cost
Employee Only
$0.00
Employee + Spouse/Domestic Partner
$0.00
Employee + Child(ren)
$0.00
Employee + Family
$0.00