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COBRA COSTS
2009-2010 Plan Year COBRA Rates
July 1, 2009 - December 31, 2010
Medical
Traditional Plan
Employee Only
$413.74
Employee + Spouse
$829.54
Employee + Child(ren)
$677.31
Employee + Family
$1,172.47
Dental
Low Plan
High Plan
Employee Only
$18.24
$26.87
Employee + Spouse
$38.97
$56.92
Employee + Child(ren)
$41.17
$63.24
Employee + Family
$67.97
$103.07
Vision
Vision
Employee Only
$8.53
Employee + Spouse
$16.62
Employee + Child(ren)
$17.89
Employee + Family
$19.00