printer friendly benefit rates & coverage chart![]()
COBRA Rates (Continuation of Benefits)
| Salary Bracket |
Coverage Level |
9
Faculty
|
12
Administrators
|
26
Classified
|
| B1: 0- $33,500 |
Employee only | $74.26 | $55.69 | $25.70 |
| Employee plus One |
$145.45 | $109.08 | $50.35 | |
| Employee & Family | $216.77 | $162.58 | $75.04 | |
| B2:$33,501-$39,300 | Employee only | $81.48 | $61.11 | $28.20 |
| Employee plus One | $159.59 | $119.69 | $55.24 | |
| Employee & Family | $237.85 | $178.39 | $82.33 | |
| B3:$39,301-$44,300 | Employee only | $88.70 | $66.52 | $30.70 |
| Employee plus One | $173.73 | $130.30 | $60.14 | |
| Employee & Family | $258.92 | $194.19 | $89.63 | |
| B4: $44,301-$50,600 | Employee only | $95.92 | $71.94 | $33.20 |
| Employee plus One | $187.87 | $140.90 | $65.03 | |
| Employee & Family | $280.00 | $210.00 | $96.92 | |
| B5: $50,601- $57,300 | Employee only | $103.14 | $77.35 | $35.70 |
| Employee plus One | $202.01 | $151.51 | $69.93 | |
| Employee & Family | $301.07 | $225.81 | $104.22 | |
| B6:$57,301-$65,100 | Employee only | $110.36 | $82.77 | $38.20 |
| Employee plus One | $216.15 | $162.11 | $74.82 | |
| Employee & Family | $322.15 | $241.61 | $111.51 | |
| B7: $65,101-$75,200 | Employee only | $117.58 | $88.18 | $40.70 |
| Employee plus One | $230.29 | $172.72 | $79.72 | |
| Employee & Family | $343.23 | $257.42 | $118.81 | |
| B8: $75,201-$93,700 | Employee only | $124.80 | $93.60 | $43.20 |
| Employee plus One | $244.43 | $183.32 | $84.61 | |
| Employee & Family | $364.30 | $273.23 | $126.10 | |
| B9: $93,701+ | Employee only | $132.02 | $99.01 | $45.70 |
| Employee plus One | $258.57 | $193.93 | $89.51 | |
| Employee & Family | $385.38 | $289.03 | $133.40 |
| Hours Worked per pay period | 0-19 hrs/pay | 20-39 hrs/pay | 40-59 hrs/pay |
60+ hrs/pay |
| Employee Only | $196.43 | $122.77 | $61.38 | $25.70 |
| Employee plus One | $384.74 | $240.46 | $120.23 | $50.35 |
| Employee & Family | $573.42 | $ 358.38 | $179.19 | $75.04 |
| 9 Faculty |
12 Administrators |
26 Classified |
|
| Spouse/Domestic Partner Premium | $66.67 | $50.00 | $23.08 |
| Extended Dependent Premium | $66.67 | $50.00 | $23.08 |
| Adult Child Premium | $353.33 | $265.00 | $122.31 |
| # of pays per year | 9 Faculty |
12 Administrators |
26 Classified |
| Employee Only* | $0.00 | $0.00 | $0.00 |
| Employee plus One |
$30.67 | $23.00 | $10.62 |
| Employee & Family | $60.00 | $45.00 | $20.77 |
| # of pays per year | 9 Faculty |
12 Administrative |
26 Classified |
| Employee Only | $2.67 | $2.00 | $.92 |
| Employee plus One |
$36.00 | $27.00 | $12.46 |
| Employee & Family | $68.00 | $51.00 | $23.54 |
| Age | 9 Faculty |
12 Administrators |
26 Classified |
| Under 34 |
.53 | .40 | .18 |
| 35-39 | .80 | .60 | .28 |
| 40-44 | .93 | .70 | .32 |
| 45-49 | 1.47 | 1.10 | .51 |
| 50-54 | 2.53 | 1.90 | .88 |
| 55-59 | 4.13 | 3.10 | 1.43 |
| 60-64 | 7.20 | 5.40 | 2.49 |
| 65-69 | 10.80 | 8.10 | 3.74 |
| 70-74 | 19.33 | 14.50 | 6.69 |
| 75+ | 27.47 | 20.60 | 9.51 |
| Coverage | 9 Faculty |
12 Administrators |
26 Classified |
| Spouse $5,000/Child $2,000 Option B |
1.61 | 1.21 | .56 |
| Spouse 10,000/ Child $5,000 Option A |
3.47 | 2.60 | 1.20 |
| Spouse $20,000/ Child $10,000 Option C |
6.57 | 4.93 | 2.28 |