MMC Benefits Handbook
COBRA Rates
2022 Medical COBRA Rates
Aetna: $400 Deductible Plan
Coverage Level
2022 Broad Network Monthly Cost
2022 Narrow Network Monthly Cost
Employee
$691.77
$664.04
Employee + Spouse/Domestic Partner
$1,660.25
$1,593.
Employee + Child(ren)
$1,383.54
$1,328.08
Employee + Family
$2,421.20
$2,324.14
Anthem BlueCross BlueShield: $400 Deductible Plan
 
Coverage Level
2022 Broad Network Monthly Cost
2022 Narrow Network Monthly Cost
Employee
$691.77
$664.04
Employee + Spouse/Domestic Partner
$1,660.25
$1,593.70
Employee + Child(ren)
$1,383.54
$1,328.08
Employee + Family
$2,421.20
$2,324.14
UnitedHealthcare: $400 Deductible Plan
Coverage Level
2022 Broad Network Monthly Cost
2022 Narrow Network Monthly Cost
Employee
$691.77
$664.04
Employee + Spouse/Domestic Partner
$1,660.25
$1,593.70
Employee + Child(ren)
$1,383.54
$1,328.08
Employee + Family
$2,421.20
$2,324.14
Aetna: $1,500 Deductible Plan
Coverage Level
2022 Broad Network Monthly Cost
2022 Narrow Network Monthly Cost
Employee
$613.88
$589.13
Employee + Spouse/Domestic Partner
$1,473.31
$1,413.91
Employee + Child(ren)
$1,227.75
$1,178.25
Employee + Family
$2,148.57
$2,061.95
Anthem BlueCross BlueShield: $1,500 Deductible Plan
 
Coverage Level
2022 Broad Network Monthly Cost
2022 Narrow Network Monthly Cost
Employee
$613.88
$589.13
Employee + Spouse/Domestic Partner
$1,473.31
$1,413.91
Employee + Child(ren)
$1,227.75
$1,178.25
Employee + Family
$2,148.57
$2,061.95
UnitedHealthcare: $1,500 Deductible Plan
Coverage Level
2022 Broad Network Monthly Cost
2022 Narrow Network Monthly Cost
Employee
$613.88
$589.13
Employee + Spouse/Domestic Partner
$1,473.31
$1,413.91
Employee + Child(ren)
$1,227.75
$1,178.25
Employee + Family
$2,148.57
$2,061.95
Aetna: $2,850 Deductible Plan
Coverage Level
2022 Broad Network Monthly Cost
2022 Narrow Network Monthly Cost
Employee
$557.01
$534.52
Employee + Spouse/Domestic Partner
$1,336.82
$1,282.85
Employee + Child(ren)
$1,114.01
$1,069.04
Employee + Family
$1,949.53
$1,870.81
Anthem BlueCross BlueShield: $2,850 Deductible Plan
 
Coverage Level
2022 Broad Network Monthly Cost
2022 Narrow Network Monthly Cost
Employee
$557.01
$534.52
Employee + Spouse/Domestic Partner
$1,336.82
$1,282.85
Employee + Child(ren)
$1,114.01
$1,069.04
Employee + Family
$1,949.53
$1,870.81
UnitedHealthcare: $2,850 Deductible Plan
Coverage Level
2022 Broad Network Monthly Cost
2022 Narrow Network Monthly Cost
Employee
$557.01
$534.52
Employee + Spouse/Domestic Partner
$1,336.82
$1,282.85
Employee + Child(ren)
$1,114.01
$1,069.04
Employee + Family
$1,949.53
$1,870.81
Kaiser: $400 Deductible Plan
Coverage Level
2022 Monthly Cost
Employee Only
$634.13
Employee + Spouse/Domestic Partner
$1,521.92
Employee + Child(ren)
$1,268.27
Employee + Family
$2,219.47
Kaiser: $1,500 Deductible Plan
Coverage Level
2022 Monthly Cost
Employee Only
$477.71
Employee + Spouse/Domestic Partner
$1,146.50
Employee + Child(ren)
$955.41
Employee + Family
$1,671.97
Kaiser: $2,850 Deductible Plan
Coverage Level
2022 Monthly Cost
Employee Only
$433.69
Employee + Spouse/Domestic Partner
$1,040.87
Employee + Child(ren)
$867.39
Employee + Family
$1,517.93
HMSA Preferred Provider Plan – Hawaii PPP
Coverage
2022 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
2022 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
2022 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
2022 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
2022 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
2022 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
2022 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
2022 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
2022 Monthly Cost
Employee Only
$0.00
Employee + Spouse/Domestic Partner
$0.00
Employee + Child(ren)
$0.00
Employee + Family
$0.00