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
Aetna: $1,500 Deductible Plan
Coverage Level
2023 Broad Network Monthly Cost
2023 Narrow Network Monthly Cost
Employee
$ 672.24
$645.07
Employee + Spouse/Domestic Partner
$ 1,613.39
$1,548.15
Employee + Child(ren)
$ 1,344.46
$1,290.11
Employee + Family
$2,352.81
$2,257.68
Anthem BlueCross BlueShield: $1,500 Deductible Plan
Coverage Level
2023 Broad Network Monthly Cost
Employee
$ 672.24
Employee + Spouse/Domestic Partner
$ 1,613.39
Employee + Child(ren)
$ 1,344.46
Employee + Family
$2,352.81
Aetna: $3,000 Deductible Plan
Coverage Level
2023 Broad Network Monthly Cost
2023 Narrow Network Monthly Cost
Employee
$ 609.80
$585.09
Employee + Spouse/Domestic Partner
$ 1,463.52
$1,404.24
Employee + Child(ren)
$ 1,219.56
$1,170.17
Employee + Family
$ 2,134.25
$2,047.80
Anthem BlueCross BlueShield: $3,000 Deductible Plan
Coverage Level
2023 Broad Network Monthly Cost
Employee
$ 609.80
Employee + Spouse/Domestic Partner
$ 1,463.52
Employee + Child(ren)
$ 1,219.56
Employee + Family
$ 2,134.25
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
HMSA Health Plan Hawaii Plus – Hawaii HMO
Coverage Level
2023 Monthly Cost
Employee Only
$ 684.85
Employee + Spouse/Domestic Partner
$ 1,643.65
Employee + Child(ren)
$ 1,369.70
Employee + Family
$ 2,397.00
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