Teamsters Western Region & Local 177 | Benefits | Cobra
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2022 Weekly COBRA Rates
Effective 1/1/22 through 12/31/22
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Weekly Rates to Continue Coverage under Aetna or BCBS: |
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Coverage Description |
Rate Type |
Weekly Rate |
|
Standard (18 or 36 Months): |
Composite |
$287 |
|
Extension (11 Month Disability): |
Composite |
$422 |
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Monthly Rates to Continue Coverage under Aetna or BCBS: |
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Coverage Description |
Rate Type |
Monthly Rate |
|
Standard (18 or 36 Months): |
Dependent of Retiree |
$1,733 |
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Extension (11 Month Disability): |
Dependent of Retiree |
$2,549 |
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Weekly Rates to Continue Coverage under Kaiser - California: |
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Coverage Description |
Rate Type |
Weekly Rate |
|
Standard (18 or 36 Months): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$143 $301 $258 $416 |
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Extension (11 Month Disability): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$211 $443 $380 $612 |
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Weekly Rates to Continue Coverage under Kaiser - Hawaii: |
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Coverage Description |
Rate Type |
Weekly Rate |
|
Standard (18 or 36 Months): |
Employee Only Employee + Family |
$168 $335 |
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Extension (11 Month Disability): |
Employee Only Employee + Family |
$247 $493 |
2021 Weekly COBRA Rates
Effective 1/1/21 through 12/31/21
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Weekly Rates to Continue Coverage under Aetna or BCBS: |
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|
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: |
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|
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 |
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Weekly Rates to Continue Coverage under Kaiser - California: |
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Coverage Description |
Rate Type |
Weekly Rate |
|
Standard (18 or 36 Months): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$136 $285 $244 $394 |
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Extension (11 Month Disability): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$200 $419 $360 $579 |
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Weekly Rates to Continue Coverage under Kaiser - Hawaii: |
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|
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 |
2020 Weekly COBRA Rates
Effective 1/1/20 through 12/31/20
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Weekly Rates to Continue Coverage under Aetna or BCBS: |
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|
Coverage Description |
Rate Type |
Weekly Rate |
|
Standard (18 or 36 Months): |
Composite |
$316 |
|
Extension (11 Month Disability): |
Composite |
$465 |
|
Monthly Rates to Continue Coverage under Aetna or BCBS: |
||
|
Coverage Description |
Rate Type |
Monthly Rate |
|
Standard (18 or 36 Months): |
Dependent of Retiree |
$1,577 |
|
Extension (11 Month Disability): |
Dependent of Retiree |
$2,319 |
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Weekly Rates to Continue Coverage under Kaiser - California: |
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|
Coverage Description |
Rate Type |
Weekly Rate |
|
Standard (18 or 36 Months): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$136 $286 $245 $395 |
|
Extension (11 Month Disability): |
Employee Only Employee + Spouse Employee + Child(ren) Employee + Family |
$201 $421 $361 $582 |
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Weekly Rates to Continue Coverage under Kaiser - Hawaii: |
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|
Coverage Description |
Rate Type |
Weekly Rate |
|
Standard (18 or 36 Months): |
Employee Only Employee + Family |
$169 $337 |
|
Extension (11 Month Disability): |
Employee Only Employee + Family |
$248 $496 |