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COBRA Rates

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2017 COBRA Rates

Qualified Beneficiary means an Employee, former employee or Dependent of an Employee or former employee who is eligible to continue coverage under the Plan in accordance with applicable provisions of Title X of COBRA or Section 609(a) of ERISA in relation to QMCSO's. Qualified Beneficiary will also include a child born to, adopted by or Placed for Adoption with an Employee or former employee at any time during COBRA Continuation Coverage.

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

Life Insurance Conversion Information. Conversion forms for Life Insurance policies are available at benefits.mt.gov/forms.

Medicare Eligibility
NO health care benefits are allowed under the State Plan after a COBRA individual becomes Medicare eligible, unless the individual is Medicare eligible due to end-stage renal disease or Medicare eligible prior to electing COBRA.