COBRA COSTS

2017 Plan Year COBRA Rates

January 1, 2017 - December 31, 2017

 

Monthly COBRA Premiums - DriveTime

Medical

Traditional Plan

Employee Only

$445.21

Employee + Spouse

$892.63

Employee + Child(ren)

$728.84

Employee + Family

$1,261.65

Medical

Liberty Plan

Employee Only

$426.73

Employee + Spouse

$855.59

Employee + Child(ren)

$698.58

Employee + Family

$1,209.29

Dental

Low Plan

High Plan

Employee Only

$21.36

$29.73

Employee + Spouse

$45.66

$63.00

Employee + Child(ren)

$48.22

$69.99

Employee + Family

$79.61

$114.08

Vision

Vision

Employee Only

$8.36

Employee + Spouse

$16.30

Employee + Child(ren)

$17.54

Employee + Family

$18.64