Ohio Department of Health
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COBRA (Consolidated Omnibus Budget Reconciliation Act)
Should you no longer be eligible for coverage as a State of Ohio employee, you and your dependents may continue your health care coverage for 18, 29 or 36 months through COBRA. See the Eligibility section below for details. 


Qualifying Events

COBRA is a federally mandated program that allows you to continue your medical, dental and vision benefits based on the following qualifying events:

  • Termination or reduction in hours of employment of the covered employee (for reasons other than gross misconduct); 
  • Death of the covered employee; or 
  • Covered employee becomes eligible for Medicare.

The covered employee or one of the qualified dependents is responsible for notifying the plan within 60 days after the qualifying event for:

  • Divorce;
  • Legal separation; or
  • A child’s loss of dependent status under the plan. 


Coverage is extended only to those individuals covered at the time of termination/loss of coverage and may only continue the coverage in effect on the day of termination/loss of coverage.

*COBRA may provide for further extensions of coverage, up to a maximum of 36 months, under certain circumstances. See the following example for potential extensions and the eligibility section below for spouse/dependent coverage periods.

For example, an individual who is determined by the Social Security Administration to be disabled while on an 18-month COBRA policy may be eligible for an additional 11 months of coverage (for a total of 29 months). In addition, when a “secondary event,” such as the death of a former employee, occurs while the family is on COBRA, the 18-month original coverage period may be extended to 36 months for survivors who are on the plan.

Paying for COBRA Coverage

If you elect COBRA coverage, you must pay the total monthly premium (employer and employee shares) plus an additional two percent administrative surcharge.

Contact Information

For questions pertaining to COBRA coverage, contact iTEDIUM at 877-682-6272.



COBRA Rates: July 1, 2020 - June 30, 2021

July 1, 2020 – June 30, 2021

Monthly Rates

Plan Type Plan and/or Provider Single Single Plus Spouse Family Minus Spouse Family Plus Spouse

Ohio Med PPO
(Includes Medical Mutual of Ohio and
Anthem administered plans)

$782.45 N/A $2,148.75 $2,169.15

Ohio Med HDHP
(Includes Medical Mutual of Ohio and
Anthem administered plans

$716.97 $1,611.93 $1,253.95 $2,148.91
Dental Delta Dental PPO $34.91 N/A $101.17 $101.17
Vision EyeMed Vision Care $10.24 N/A $28.16 $28.16


Dental & Vision Coverage for Union Participants

Dental and vision COBRA coverage may be elected through the Union Benefits Trust (UBT). For information, please contact UBT at (800) 228-5088.

* Medical Plan Coverage

Medical plan enrollment includes behavioral health coverage (provided by Optum Behavioral Solutions), prescription drug coverage (provided by OptumRx), and the Take Charge | Live Well wellness program (provided by Virgin Pulse).

COBRA Rates: July 1, 2019 - June 30, 2020

COBRA Rates: July 1, 2018 - June 30, 2019

General Contact

Ohio Department of Administrative Services
30 E. Broad St., 27th Floor
Columbus, Ohio 43215
Local: 614-466-8857 
Toll Free: 800-409-1205, option 2

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