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COBRA Benefits

Our group health plan is required to give employees and their families the opportunity to continue their health care coverage when there is a “qualifying event” that would result in a loss of coverage under our Plan. See more information about termination of benefits.

Qualified beneficiaries may include the employee (or retired employee) covered under the group health plan, the covered employee’s spouse, and the dependent children of the covered employee.

Each qualified beneficiary who elects continuation coverage will have the same rights under the Plan as other participants or beneficiaries covered under the Plan, including open enrollment.

Elect COBRA continuation coverage

Failure to continue your group health coverage will affect your future rights under federal law.

Maximum coverage period

The maximum coverage period is based on the qualifying event causing a loss of eligibility.

COBRA termination

Continuation coverage will be terminated before the end of the maximum period if:

Continuation extension

Disability

Second qualifying event

COBRA payments

Initial payment

Periodic payments

2019 monthly COBRA premiums

Medical

You

You+Spouse

You+Child(ren)

You+sps+child(ren)

Premier PPO

$783.36

$1,715.64

$1,459.62

$2,576.52

Select PPO

$568.14

$1,242.36

$1,055.70

$1,868.64

Value PPO

$499.80

$1,095.48

$929.22

$1,642.20

HMO Illinois

$548.76

$1,202.58

$1036.32

$1,809.48

Cigna International

$949.62

$2,204.22

$1,965.54

$3,038.58

Cigna Stateside

(*for former Qatar employees who returned to U.S. only)

$1,469.82

$3,411.90

$3,038.58

$4,693.02

Dental

You

You+Spouse

You+Child(ren)

You+sps+child(ren)

Dearborn National PPO

$46.92

$102.00

$115.26

$163.20

First Commonwealth

$15.30

$28.56

$29.58

$44.88

Cigna International

$61.20

$120.36

$135.66

$209.10

Vision

You

You+Spouse

You+Child(ren)

You+sps+child(ren)

EyeMed

$11.22

$21.42

$25.50

$30.60

Cigna International

$9.18

$19.38

$17.34

$26.52