| COBRA Plan | Description | Employee Only per Month | Employee & Child(ren)/DP Children per Month | Employee & Spouse/DP per Month | Employee & Family/DP Family per Month |
|---|---|---|---|---|---|
|
Medical |
PPO 80/60 |
421.63 |
758.95 |
885.45 |
1,307.10 |
|
Medical |
PPO 90/70 |
464.27 |
835.66 |
974.95 |
1,439.20 |
|
Medical |
Comprehensive |
728.9 |
1,311.99 |
1,530.68 |
2,259.55 |
|
EAP |
Employee Assistance Program |
2.89 |
2.89 |
2.89 |
2.89 |
|
Dental |
Comprehensive |
37.26 |
75.36 |
76.29 |
114.58 |
|
Dental |
Plus |
75.03 |
151.12 |
152.19 |
228.31 |
