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SPD > Benefits > COBRA COBRA

The Federal Consolidated Omnibus Budget Reconciliation Act (COBRA) requires the state of Indiana to offer covered employees and eligible family members the opportunity for a temporary extension of health coverage at group rates when coverage under the health plan would otherwise end. You and your eligible dependents will receive a COBRA continuation offer for the health, dental and/or vision plans you are enrolled in at the time of employment separation.

Plan Coverage COBRA Insurance Rate
Consumer Driven Health Plan 1 Single
Family

Single
Family
$406.68
$1,157.47
w/ non-tobacco incentive:
$351.43
$1,102.21
Consumer Driven Health Plan 2 Single
Family

Single
Family
$499.77
$1,388.99
w/ non-tobacco incentive:
$444.52
$1,333.73
Traditional PPO Single
Family

Single
Family
$768.68
$2,090.31
w/ non-tobacco incentive:
$713.43
$2,035.05
Delta Dental Single
Family
$24.80
$65.24
Anthem Blue View Vision Select Single
Family
$3.62
$9.19

Additional Information