|
BULLETIN
2005-13
TO ALL BENEFIT CONTACTS
Via Fax
| FROM: |
DEPARTMENT OF ADMINISTRATIVE
SERVICES (DAS)
HUMAN RESOURCES DIVISION
BENEFITS ADMINISTRATION SERVICES (BAS) |
| DATE: |
MAY 20, 2005 |
| SUBJECT: |
COBRA RATES EFFECTIVE
JULY 1, 2005 |
Listed below
are the COBRA rates for each of the health plans for the benefit year
beginning July 1, 2005. Please note that the rates listed for Delta Dental,
Vision Service Plan and Cole Vision apply to exempt employees only.
| CODE |
PLAN |
TELEPHONE |
SINGLE RATE |
FAMILY RATE |
| A11 |
OHIO MED |
(800) 822-1152 |
$316.02 |
$869.07 |
| AD1 |
AETNA |
(800) 520-4785 |
$320.41 |
$881.14 |
| AK1 |
THE HEALTH PLAN |
(800) 624-6961 |
$303.56 |
$834.56 |
| JM1 |
PARAMOUNT |
(800) 462-3589 |
$313.66 |
$861.08 |
| J31 |
QUALCHOICE |
(800) 260-2643 |
$281.14 |
$772.90 |
| AC1 |
UNITED HEALTH CARE |
(877) 442-6003 |
$335.55 |
$922.75 |
| DPO |
DELTA PREFERRED |
(800) 524-0149 |
$25.42 |
$68.31 |
| DPT |
DELTA PREMIER |
(800) 524-0149 |
$23.14 |
$62.61 |
| VSP |
VISION SERVICE PLAN |
(800) 877-7195 |
$12.25 |
$12.25 |
| VCB |
COLE MANAGED VISION |
(800) 334-7591 |
$6.96 |
$6.96 |
If you have any
questions, please contact Benefits Customer Service at (614) 466-8857
or send an E-mail to benefits@das.state.oh.us.
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