Health care plan rates: COBRA continuation

2025 COBRA continuation rates

Monthly COBRA Continuation Premium Contributions

Salary Band: Full-time employees earning less than $71,000 and residents & fellows

University Health Care Plan	Single	Employee & Spouse/ Domestic Partner	Employee & Child(ren)	Family
YOUR PPO Plan	$948.28	$2,086.14	$1,706.83	$2,844.65
YOUR HSA-Eligible Plan	$795.15	$1,749.28	$1,431.22	$2,385.34

Salary Band: All other full-time employees earning more than $71,000 and all part-time employees*

University Health Care Plan	Single	Employee & Spouse/ Domestic Partner	Employee & Child(ren)	Family
YOUR PPO Plan	$940.42	$2,068.88	$1,692.68	$2,821.10
YOUR HSA-Eligible Plan	$786.48	$1,730.23	$1,415.60	$2,359.30

Dental Plan COBRA Rates

University Dental Plans	Single	Family
Traditional Dental Plan	$33.05	$67.71
Medallion Dental Plan	$41.88	$85.78

*Also includes Travel-At-Home, In-House Staffing, and Time-as-Reported employees who qualify as a full-time employee in accordance with the University’s Measurement and Stability Periods Policy.

The Salary Band level is based on the faculty or staff member’s salary, University service, and full-time/part-time status as of the date of the COBRA qualifying event. COBRA Premiums are billed directly by the Third Party Administrator for the Health Care Plan, Excellus. Those eligible for the Employee Assistance Program (EAP) at the time their employment or benefit-eligible status ends will automatically be enrolled, together with any eligible dependents, for EAP COBRA continuation coverage at no cost for the period of their COBRA eligibility period.

Premiums are billed by a third-party administrator and will incur a 2% fee.