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COBRA Rates

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If you elect continuation coverage, you do not have to send any payment for continuation coverage with the Election Form. However, you must make your first payment for continuation coverage within 45 days after the date of your election. (This is the date the Election Notice is post-marked, if mailed.) If you do not make your first payment for continuation coverage within those 45 days, you will lose all continuation coverage rights under the Plan.

Your first payment must cover the cost of the continuation coverage from the time your coverage under the State Plan would have otherwise terminated up to the time you make the first payment. You are responsible for making sure that the amount of your first payment is enough to cover this entire period. You may contact Allegiance COBRA Services to confirm the correct amount of your first payment.

Your first payment for continuation coverage should be sent to: 

Allegiance COBRA Services Inc
PO Box 2097
Missoula, MT 59806
 

2018 COBRA Rates

MEDICAL (including prescription drug coverage)

Qualified Beneficiary Only $   688.50
Qualified Beneficiary and Spouse $1,446.36
Qualified Beneficiary and Child(ren) $1,240.32
Qualified Beneficiary and Family $2,066.52 

DENTAL

Qualified Beneficiary Only $41.92
Qualified Beneficiary and Spouse $63.75
Qualified Beneficiary and Child(ren) $62.22
Qualified Beneficiary and Family $71.40

VISION HARDWARE

Qualified Beneficiary Only $7.79
Qualified Beneficiary and Spouse $14.71
Qualified Beneficiary and Child(ren) $15.48
Qualified Beneficiary and Family $22.71

2017 COBRA Rates

MEDICAL (including prescription drug coverage)

Qualified Beneficiary Only $1,061.82
Qualified Beneficiary and Spouse $1,286.22
Qualified Beneficiary and Child(ren) $1,134.24
Qualified Beneficiary and Family $1,364.76

DENTAL

Qualified Beneficiary Only $41.92
Qualified Beneficiary and Spouse $63.75
Qualified Beneficiary and Child(ren) $62.22
Qualified Beneficiary and Family $71.40

VISION HARDWARE

Qualified Beneficiary Only $7.79
Qualified Beneficiary and Spouse $14.71
Qualified Beneficiary and Child(ren) $15.48
Qualified Beneficiary and Family $22.71

Life Insurance

Plan Members who lose eligibility for group life insurance coverage with the State of Montana Benefit Plan (State Plan) are eligible to port or convert their life insurance coverage to an individual policy with the Standard Life Insurance Company by making application to The Standard. The deadline to apply and pay premium for portability is 31 days after employment terminates. For conversion, the deadline to apply and pay premiums is 31 days after coverage was reduced or ended. Please note the termination date for employment may differ from the termination date for coverage. 

Portability allows eligible insured employees to "port" (or buy) Group Life Insurance coverage when they are losing coverage because their employment is being voluntarily or involuntarily terminated. The portable group insurance coverage offers group term Life, Accidental Death and Dismemberment (AD&D) for members and their dependents, as well as Dependents Life Insurance. 

Conversion allows eligible insured employees to convert some or all of their Group Life coverage to an individual whole Life insurance policy when their coverage is reduced or terminated for any reason other than non-payment of premiums. 

Contact The Standard Life Insurance Company, online or at (800) 978 - 4668 or The Standard Insurance Company, Attn: Continued Benefits, 920 SW Sixth Avenue, Portland, OR 97204.