The right to COBRA coverage was created by federal law, the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). COBRA coverage can become available to you when you would otherwise lose your group health coverage. It can also become available to your spouse and dependent children, if they are covered under your group health plan, under specific circumstances when they would otherwise lose their coverage.
Click on the link below for information about your right to continue your health care coverage under the University of Michigan group health plans.
COBRA FAQs (PDF)
Continuation Coverage Rights Under COBRA (PDF)
COBRA Forms
2008 Monthly Rates for COBRA
Effective January 1, 2008
Medical Plan COBRA Rates
Dental Plan COBRA Rates
Vision Plan COBRA Rates
| 2008 Monthly Medical Plan Rates for COBRA |
| BCBSM Community Blue PPO |
| You Only |
$ 476.28 |
| You + Adult |
$ 952.56 |
| You + Adult + Children |
$ 1,343.12 |
| You + Child |
$ 733.48 |
| You + 2 or More Children |
$ 733.48 |
| Comprehensive Major Medical |
| You Only |
$ 373.52 |
| You + Adult |
$ 747.05 |
| You + Adult + Children |
$ 1,053.35 |
| You + Child |
$ 575.24 |
| You + 2 or More Children |
$ 575.24 |
| GradCare |
| You Only |
$ 207.39 |
| You + Adult |
$ 414.77 |
| You + Adult + Children |
$ 584.85 |
| You + Child |
$ 319.40 |
| You + 2 or More Children |
$ 319.40 |
| Health Alliance Plan HMO |
| You Only |
$ 412.28 |
| You + Adult |
$ 824.57 |
| You + Adult + Children |
$ 1,162.66 |
| You + Child |
$ 634.93 |
| You + 2 or More Children |
$ 634.93 |
| Priority Health |
| You Only |
$ 477.58 |
| You + Adult |
$ 955.17 |
| You + Adult + Children |
$ 1,346.81 |
| You + Child |
$ 735.50 |
| You + 2 or More Children |
$ 735.50 |
| U-M Premier Care |
| You Only |
$ 407.78 |
| You + Adult |
$ 815.55 |
| You + Adult + Children |
$ 1,149.95 |
| You + Child |
$ 627.99 |
| You + 2 or More Children |
$ 627.99 |
| 2008 Monthly Dental Plan Rates for COBRA |
| Dental Option 1 |
|
| You Only |
$ 19.79 |
| You + Adult |
$ 39.58 |
| You + Adult + Children |
$ 63.16 |
| You + Child |
$ 39.58 |
| You + 2 or More Children |
$ 63.16 |
| Dental Option 2 |
|
| You Only |
$ 33.62 |
| You + Adult |
$ 67.24 |
| You + Adult + Children |
$ 104.57 |
| You + Child |
$ 67.24 |
| You + 2 or More Children |
$ 104.57 |
| Dental Options 3 |
|
| You Only |
$ 50.90 |
| You + Adult |
$ 101.80 |
| You + Adult + Children |
$ 158.30 |
| You + Child |
$ 101.80 |
| You + 2 or More Children |
$ 158.30 |
| 2008 Davis Vision Monthly Rates for COBRA |
| You Only |
$ 10.57 |
| You + Adult |
$ 16.50 |
| You + Adult + Children |
$ 28.58 |
| You + Child |
$ 16.50 |
| You + 2 or more Children |
$ 28.58 |
How To
Pay
Full premiums are due on the first of each month for that month's coverage (i.e., the premium for the coverage period of June 1st through June 30th is due on June 1st.) Any late or partial payments will be processed and refunded.
To pay for your benefits, make your check or money order payable
to "University of Michigan" and mail it
to the following address:
University of Michigan – Payroll
Box 223081
Pittsburgh, PA 15251-2081
Please write your
UMID (if known) or U.S. Social Security number on your check.
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