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    Retiree Medical Rates

    Effective 1/1/2022

     COVERAGE

    ANNUAL

    MONTHLY

     

    SINGLE

    $9,681.00

    $806.75

    1 CHILD ONLY

    $2,373.00

    $197.75

    2 CHILDREN ONLY

    $4,749.00

    $395.75

    3 CHILDREN ONLY

    $7,122.00

    $593.50

    SPOUSE ONLY

    $7,278.00

    $606.50

    FAMILY

    $11,019.00

    $918.25

     Note:  To calculate the total cost for single and dependent coverage, add the two rates together.  Example:  The annual single rate is $9,681 and the annual spouse rate is $7,278.  The total single and spouse rate is $16,959.

     

    COBRA Medical Rates

    Effective 1/1/2022

     COVERAGE

    ANNUAL

    MONTHLY

     SINGLE

    $9,874.62

    $822.89

    1 CHILD ONLY

    $2,420.46

    $201.71

    2 CHILDREN ONLY

    $4,843.98

    $403.67

    3 CHILDREN ONLY

    $7,264.44

    $605.37

    SPOUSE ONLY

    $7,423.56

    $618.63

    FAMILY

    $11,239.38

    $936.62

    Note:  To calculate the total cost for single and dependent coverage, add the two rates together.  Example:  The annual single rate is $9,874.62 and the annual spouse rate is $7,423.56.  The total single and spouse rate is $17,298.18.

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