COBRA Rates Effective July 1, 2026
Current COBRA premium rates for all coverage options.
COBRA Information
Access COBRA continuation coverage information, premium rates, and required forms.
Premium Rates
Current and historical COBRA premium rates for continuation coverage.
| Coverage | Single | Member + Spouse | Member + Children | Family |
|---|---|---|---|---|
| Admin Fee | $1.65 | $1.65 | $1.65 | $1.65 |
| Clear Cost Platinum HMO | $915.35 | $2,061.90 | $1,649.57 | $2,703.36 |
| Basic Gold HMO | $767.52 | $1,729.30 | $1,383.48 | $2,267.28 |
| Basic Gold PPO | $1,069.08 | $2,407.99 | $1,926.36 | $3,157.21 |
| High-Deductible Silver PPO | $604.04 | $1,361.58 | $1,089.25 | $1,785.22 |
| Basic Dental | $35.90 | $71.77 | $82.56 | $107.67 |
| Dental Buy-up | $38.28 | $76.51 | $88.02 | $114.78 |
| Basic Vision | $6.69 | $12.55 | $14.63 | $18.52 |
| Vision Buy-up | $8.70 | $16.31 | $19.01 | $24.08 |
COBRA Rates Effective July 1, 2025
Previous COBRA premium rates for reference.
COBRA Rates Effective January 1, 2025
Previous COBRA premium rates for reference.
COBRA Rates Effective July 1, 2024
Previous COBRA premium rates for reference.
State Employee COBRA Rates (2023-2024)
COBRA rates for state employees only during the specified period.
Forms and Notices
Required forms and notices for COBRA continuation coverage.
COBRA Initial Notice for New Hires
Notice of COBRA rights provided to new employees.
COBRA Notification Form
Form used to notify EASI Gov of termed employees.