MMC Benefits Handbook
COBRA Rates
2025 Medical COBRA Rates
Surest Copay Plan
Coverage Level
2025 Monthly Cost
Employee Only
$758.66
Employee + Spouse/Domestic Partner
$1,820.76
Employee + Child(ren)
$1,571.30
Employee + Family
$2,655.27
Aetna: $1,650 Deductible Plan
Coverage Level
2025 Broad Network Monthly Cost
2025 Narrow Network Monthly Cost
Employee
$770.34
$739.37
Employee + Spouse/Domestic Partner
$1,848.85
$1,774.45
Employee + Child(ren)
$1,540.69
$1,478.71
Employee + Family
$2,696.23
$2,587.74
Anthem BlueCross BlueShield: $1,650 Deductible Plan
Coverage Level
2025 Broad Network Monthly Cost
Employee
$770.34
Employee + Spouse/Domestic Partner
$1,848.85
Employee + Child(ren)
$1,540.69
Employee + Family
$2,696.23
Aetna: $3,300 Deductible Plan
Coverage Level
2025 Broad Network Monthly Cost
2025 Narrow Network Monthly Cost
Employee
$699.50
$671.32
Employee + Spouse/Domestic Partner
$1,678.77
$1,611.18
Employee + Child(ren)
$1,398.96
$1,342.64
Employee + Family
$2,448.19
$2,349.62
Anthem BlueCross BlueShield: $3,300 Deductible Plan
Coverage Level
2025 Broad Network Monthly Cost
Employee
$699.50
Employee + Spouse/Domestic Partner
$1,678.77
Employee + Child(ren)
$1,398.96
Employee + Family
$2,448.19
Kaiser: $1,650 Deductible Plan
Coverage Level
2025 Monthly Cost
Employee Only
$689.03
Employee + Spouse/Domestic Partner
$1,653.68
Employee + Child(ren)
$1,378.06
Employee + Family
$2,411.61
Kaiser: $3,300 Deductible Plan
Coverage Level
2025 Monthly Cost
Employee Only
$620.75
Employee + Spouse/Domestic Partner
$1,489.80
Employee + Child(ren)
$1,241.50
Employee + Family
$2,172.63
HMSA Preferred Provider Plan – Hawaii PPP
Coverage
2025 Monthly Cost
Employee Only
$752.92
Employee + Spouse/Domestic Partner
$1,807.01
Employee + Child(ren)
$1,505.85
Employee + Family
$2,635.25
HMSA Health Plan Hawaii Plus – Hawaii HMO
Coverage Level
2025 Monthly Cost
Employee Only
$744.13
Employee + Spouse/Domestic Partner
$1,785.92
Employee + Child(ren)
$1,488.26
Employee + Family
$2,604.47
Dental COBRA Rates
MetLife Premier Plan
Coverage Level
2025 Monthly Cost
Employee Only
$55.24
Employee + Spouse/Domestic Partner
$132.59
Employee + Child(ren)
$110.49
Employee + Family
$193.36
MetLife Standard Plan
Coverage Level
2025 Monthly Cost
Employee Only
$44.05
Employee + Spouse/Domestic Partner
$105.73
Employee + Child(ren)
$88.11
Employee + Family
$154.19
Vision COBRA Rates
VSP High Option
Coverage Level
2025 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
2025 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
2025 Monthly Cost
Employee Only
$1.95
Employee + Spouse/Domestic Partner
$1.95
Employee + Child(ren)
$1.95
Employee + Family
$1.95
Health Advocate
Coverage Level
2025 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
2025 Monthly Cost
Employee Only
$0.00
Employee + Spouse/Domestic Partner
$0.00
Employee + Child(ren)
$0.00
Employee + Family
$0.00