COBRA Rates

MMC Benefits Handbook

COBRA Rates

2024 Medical COBRA Rates


Surest Copay Plan
Coverage Level	2024 Monthly Cost
Employee Only	$700.07
Employee + Spouse/Domestic Partner	$1,680.16
Employee + Child(ren)	$1,400.13
Employee + Family	$2,450.23


Aetna: $1,600 Deductible Plan
Coverage Level	2024 Broad Network Monthly Cost	2024 Narrow Network Monthly Cost
Employee	$710.42	$681.82
Employee + Spouse/Domestic Partner	$1,705.01	$1,636.32
Employee + Child(ren)	$1,420.82	$1,363.60
Employee + Family	$2,486.45	$2,386.29


Anthem BlueCross BlueShield: $1,600 Deductible Plan
Coverage Level	2024 Broad Network Monthly Cost
Employee	$710.42
Employee + Spouse/Domestic Partner	$1,705.01
Employee + Child(ren)	$1,420.82
Employee + Family	$2,486.45


Aetna: $3,200 Deductible Plan
Coverage Level	2024 Broad Network Monthly Cost	2024 Narrow Network Monthly Cost
Employee	$645.02	$619.01
Employee + Spouse/Domestic Partner	$1,548.03	$1,485.63
Employee + Child(ren)	$1,290.00	$1,238.00
Employee + Family	$ 2,257.53	$2,166.52


Anthem BlueCross BlueShield: $3,200 Deductible Plan
Coverage Level	2024 Broad Network Monthly Cost
Employee	$645.02
Employee + Spouse/Domestic Partner	$1,548.03
Employee + Child(ren)	$1,290.00
Employee + Family	$2,257.53


Kaiser: $1,600 Deductible Plan
Coverage Level	2024 Monthly Cost
Employee Only	$602.86
Employee + Spouse/Domestic Partner	$1,446.87
Employee + Child(ren)	$1,205.72
Employee + Family	$2,110.01


Kaiser: $3,200 Deductible Plan
Coverage Level	2024 Monthly Cost
Employee Only	$543.12
Employee + Spouse/Domestic Partner	$1,303.49
Employee + Child(ren)	$1,086.24
Employee + Family	$1,900.92


HMSA Preferred Provider Plan – Hawaii PPP
Coverage	2024 Monthly Cost
Employee Only	$748.64
Employee + Spouse/Domestic Partner	$1,796.75
Employee + Child(ren)	$1,497.28
Employee + Family	$2,620.26


HMSA Health Plan Hawaii Plus – Hawaii HMO
Coverage Level	2024 Monthly Cost
Employee Only	$739.81
Employee + Spouse/Domestic Partner	$1,775.53
Employee + Child(ren)	$1,479.61
Employee + Family	$2,589.33

Dental COBRA Rates


MetLife Premier Plan
Coverage Level	2024 Monthly Cost
Employee Only	$53.47
Employee + Spouse/Domestic Partner	$128.33
Employee + Child(ren)	$106.94
Employee + Family	$187.14


MetLife Standard Plan
Coverage Level	2024 Monthly Cost
Employee Only	$42.64
Employee + Spouse/Domestic Partner	$102.33
Employee + Child(ren)	$85.27
Employee + Family	$149.24

Vision COBRA Rates


VSP High Option
Coverage Level	2024 Monthly Cost
Employee Only	$11.16
Employee + Spouse/Domestic Partner	$26.75
Employee + Child(ren)	$22.29
Employee + Family	$39.03


VSP Low Option
Coverage Level	2024 Monthly Cost
Employee Only	$6.90
Employee + Spouse/Domestic Partner	$16.58
Employee + Child(ren)	$13.81
Employee + Family	$24.17


CIGNA Behavioral Health: Employee Assistance Program
Coverage Level	2024 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	2024 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	2024 Monthly Cost
Employee Only	$0.00
Employee + Spouse/Domestic Partner	$0.00
Employee + Child(ren)	$0.00
Employee + Family	$0.00