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California State University, Long Beach

COBRA Continuation

Federal law requires that employers sponsoring group health plans with more than 20 employees offer their employees and their families the opportunity for a temporary extension of health coverage (called "continuation coverage") at group rates, in certain instances, where coverage under the plan would otherwise end. This section is intended to inform you, in a summary fashion, of your rights and obligations under the continuation coverage provisions of the law. (Both you and your spouse/dependents should take the time to read this section carefully).

If you are the employee of California State University, Long Beach (CSULB) covered by a health, dental and/or vision plan, you have the right to choose this continuation coverage if you lose your group coverage because of a reduction in your hours of employment or the termination of your employment (for reasons other than gross misconduct on your part).

If you are the spouse/dependent of an employee covered by the health, dental and/or vision plans, you have the right to choose continuation coverage for yourself if you lose group coverage under the health, dental and/or vision plans for any of the following reasons:

  • The death of your spouse,
  • A termination of your spouse's employment (for reasons other than gross misconduct) or reduction in a spouse's hours of employment with CSULB,
  • Divorce or legal separation from your spouse, or
  • Your spouse becomes entitled to Medicare.

In the case of a dependent child of an employee covered by the health, dental and/or vision plans, he/she has the right to continuation coverage if group coverage under the health, dental and/or vision plans is lost for any of the following reasons:

  1. The death of a parent,

  2. A termination of a parent's employment (for reasons other than gross misconduct) or reduction in a parent's hours of employment with CSULB,

  3. Parent's divorce or legal separation,

  4. A parent becomes entitled to Medicare, or

  5. The dependent ceases to be a "dependent child" under the health, dental and/or vision. plans. (Age 23, unless permanently disabled and unable to be self supporting).

Under the law, the employee or family member has the responsibility to inform California State University, Long Beach, Payroll & Benefit Services Office of a divorce, legal separation, a child losing dependent status, or Social Security Disability determination within sixty (60) days of the event or the date on which coverage would be lost under the health, dental and/or vision plans, whichever is later.

COBRA Rates for Medical, Dental and Vision Plans

effective January 1, 2007

Medical Carriers

Medical Carriers 1 Party 2 Party 3 Party
Blue Shield HMO $444.83 $889.66 $1,156.57
Kaiser $409.72 $819.45 $1,065.28
PERSCare $777.12 $1,554.24 $2,020.51
PERSChoice $459.68 $919.37 $1,195.17

Dental Carriers

Delta Dental Basic 1 Party 2 Party 3 Party
Public Safety (Unit 8) $27.49 $51.93 $104.28
Excluded (E99) $27.49 $51.93 $104.28
Delta Dental Enhanced Level I 1 Party 2 Party 3 Party
CMA Engineers (Unit 10) $33.46 $63.29 $130.45
Teaching Associates (Unit 11) $33.46 $63.29 $130.45
Delta Dental Enhanced Level II 1 Party 2 Party 3 Party
Executive (M98) $41.40 $78.11 $152.61
Management Personnel Plan (M80) $41.40 $78.11 $152.61
Confidential (C99) $41.40 $78.11 $152.61
Physicians (Unit 1) $41.40 $78.11 $152.61
CSEA (Units 2,5,7 & 9) $41.40 $78.11 $152.61
Faculty (Unit 3) $41.40 $78.11 $152.61
Academic Support (Unit 4) $41.40 $78.11 $152.61
Skilled Crafts (Unit 6) $41.40 $78.11 $152.61
PMI Delta Care Basic 1 Party 2 Party 3 Party
CMA Engineers (Unit 10) $17.88 $29.50 $43.61
Teaching Associates (Unit 11) $17.88 $29.50 $43.61
Public Safety (Unit 8) $17.88 $29.50 $43.61
PMI Delta Care Enhanced 1 Party 2 Party 3 Party
Executive (M98) $23.76 $39.22 $57.99
Management Personnel Plan (M80) $23.76 $39.22 $57.99
Confidential (C99) $23.76 $39.22 $57.99
Physicians (Unit 1) $23.76 $39.22 $57.99
CSEA (Units 2,5,7 & 9) $23.76 $39.22 $57.99
Faculty (Unit 3) $23.76 $39.22 $57.99
Academic Support (Unit 4) $23.76 $39.22 $57.99
Skilled Crafts (Unit 6) $23.76 $39.22 $57.99

Vision Carrier

Vision Service Plan 1 Party 2 Party 3 Party
All Employees $9.31 $9.31 $9.31