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    Retiree Medical Rates

    Effective 1/1/2021

    COVERAGE

    ANNUAL

    MONTHLY

    SINGLE

    $9,420.00

    $785.00

    1 CHILD ONLY

    $2,310.00

    $192.50

    2 CHILDREN ONLY

    $4,620.00

    $385.00

    3 CHILDREN ONLY

    $6,930.00

    $577.50

    SPOUSE ONLY

    $7,080.00

    $590.00

    FAMILY

    $10,719.00

    $893.25

    Note: To calculate the total cost for single and dependent coverage, add the two rates together.

    Example the annual single rate is $9,420 and the annual spouse rate is $7,080. The total single and spouse rate is $16,500.

     

     

    COBRA Medical Rates

    Effective 1/1/2021

    COVERAGE

    ANNUAL

    MONTHLY

    SINGLE

    $9,609.00

    $800.75

    1 CHILD ONLY

    $2,358.00

    $196.50

    2 CHILDREN ONLY

    $4,701.00

    $391.75

    3 CHILDREN ONLY

    $7,068.00

    $589.00

    SPOUSE ONLY

    $7,221.00

    $601.75

    FAMILY

    $10,935.00

    $911.25

    Note: To calculate the total cost for single and dependent coverage, add the two rates together.

    Example the annual single rate is $9,609 and the annual spouse rate is $7,221. The total single and spouse rate is $16,830.

     

     
    For more information about COBRA visit Allegiance's COBRA Services webpage.