Teamsters Western Region & Local 177 | Benefits | Cobra

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2024 Weekly COBRA Rates

Effective 1/1/24 through 12/31/24

Weekly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Composite

$319

 Extension (11 Month Disability):

Composite

$469

 

 

 Monthly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Monthly Rate

 Standard (18 or 36 Months):

Dependent of Retiree

$1,779

 Extension (11 Month Disability):

Dependent of Retiree

$2,616

 

 

Weekly Rates to Continue Coverage under Kaiser - California:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$156

$328

$281

$453

 Extension (11 Month  Disability):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$230

$482

$413

$666

 

 

Weekly Rates to Continue Coverage under Kaiser - Hawaii:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Employee Only

Employee + Family

$162

$323

 Extension (11 Month Disability):

Employee Only

Employee + Family

$238

$476

 

2023 Weekly COBRA Rates

Effective 1/1/23 through 12/31/23

Weekly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Composite

$307

 Extension (11 Month Disability):

Composite

$452

 

 

 Monthly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Monthly Rate

 Standard (18 or 36 Months):

Dependent of Retiree

$1,784

 Extension (11 Month Disability):

Dependent of Retiree

$2,624

 

 

Weekly Rates to Continue Coverage under Kaiser - California:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$137

$287

$246

$396

 Extension (11 Month  Disability):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$201

$422

$362

$582

 

 

Weekly Rates to Continue Coverage under Kaiser - Hawaii:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Employee Only

Employee + Family

$159

$317

 Extension (11 Month Disability):

Employee Only

Employee + Family

$233

$467

2022 Weekly COBRA Rates

Effective 1/1/22 through 12/31/22

Weekly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Composite

$287

 Extension (11 Month Disability):

Composite

$422

 

 

 Monthly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Monthly Rate

 Standard (18 or 36 Months):

Dependent of Retiree

$1,733

 Extension (11 Month Disability):

Dependent of Retiree

$2,549

 

 

Weekly Rates to Continue Coverage under Kaiser - California:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$143

$301

$258

$416

 Extension (11 Month  Disability):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$211

$443

$380

$612

 

 

Weekly Rates to Continue Coverage under Kaiser - Hawaii:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Employee Only

Employee + Family

$168

$335

 Extension (11 Month Disability):

Employee Only

Employee + Family

$247

$493

 

2021 Weekly COBRA Rates

Effective 1/1/21 through 12/31/21

Weekly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Composite

$332

 Extension (11 Month Disability):

Composite

$488

 

 

 Monthly Rates to Continue Coverage under Aetna or BCBS:

Coverage Description

Rate Type

Monthly Rate

 Standard (18 or 36 Months):

Dependent of Retiree

$1,648

 Extension (11 Month Disability):

Dependent of Retiree

$2,424

 

 

Weekly Rates to Continue Coverage under Kaiser - California:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$136

$285

$244

$394

 Extension (11 Month  Disability):

Employee Only

Employee + Spouse

Employee + Child(ren)

Employee + Family

$200

$419

$360

$579

 

 

Weekly Rates to Continue Coverage under Kaiser - Hawaii:

Coverage Description

Rate Type

Weekly Rate

 Standard (18 or 36 Months):

Employee Only

Employee + Family

$176

$353

 Extension (11 Month Disability):

Employee Only

Employee + Family

$260

$519