MMC Benefits Handbook
COBRA Rates
2023 Medical COBRA Rates
Surest Copay Plan
|
|
Coverage Level
|
2023 Monthly Cost
|
Employee Only
|
$662.61
|
Employee + Spouse/Domestic Partner
|
$1,590.27
|
Employee + Child(ren)
|
$1,325.22
|
Employee + Family
|
$2,319.13
|
Kaiser: $1,500 Deductible Plan
|
|
Coverage Level
|
2023 Monthly Cost
|
Employee Only
|
$ 524.06
|
Employee + Spouse/Domestic Partner
|
$ 1,257.73
|
Employee + Child(ren)
|
$ 1,048.11
|
Employee + Family
|
$ 1,834.19
|
Kaiser: $3,000 Deductible Plan
|
|
Coverage Level
|
2023 Monthly Cost
|
Employee Only
|
$ 472.53
|
Employee + Spouse/Domestic Partner
|
$ 1,134.06
|
Employee + Child(ren)
|
$ 945.05
|
Employee + Family
|
$ 1,653.84
|
HMSA Preferred Provider Plan – Hawaii PPP
|
|
Coverage
|
2023 Monthly Cost
|
Employee Only
|
$ 692.95
|
Employee + Spouse/Domestic Partner
|
$ 1,663.09
|
Employee + Child(ren)
|
$ 1,385.89
|
Employee + Family
|
$ 2,425.34
|
Dental COBRA Rates
MetLife Premier Plan
|
|
Coverage Level
|
2023 Monthly Cost
|
Employee Only
|
$52.19
|
Employee + Spouse/Domestic Partner
|
$125.27
|
Employee + Child(ren)
|
$104.39
|
Employee + Family
|
$182.68
|
MetLife Standard Plan
|
|
Coverage Level
|
2023 Monthly Cost
|
Employee Only
|
$41.63
|
Employee + Spouse/Domestic Partner
|
$99.89
|
Employee + Child(ren)
|
$83.24
|
Employee + Family
|
$145.68
|
Vision COBRA Rates
VSP High Option
|
|
Coverage Level
|
2023 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
|
2023 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
|
2023 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
|
2023 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
|
2023 Monthly Cost
|
Employee Only
|
$0.00
|
Employee + Spouse/Domestic Partner
|
$0.00
|
Employee + Child(ren)
|
$0.00
|
Employee + Family
|
$0.00
|