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If you or your dependents are no longer eligible for health or dental insurance coverage with the university, you may purchase COBRA coverage for up to 18 months for employees or up to 36 months for eligible dependents.
 
You may need COBRA coverage should you experience any one of the following changes:

  • Your employment ends
  • You work fewer hours
  • You transfer to a position not eligible for benefits (on-call status, etc.)
  • You go on an unpaid leave of absence

 Your dependents may need COBRA coverage in the event of one of the following:

  • Death of a covered employee
  • Divorce or legal separation from a covered employee
  • Dependent child of covered employee is no longer eligible due to turning 26 years of age.

If your dependent is eligible for COBRA coverage based on either an employee's divorce or legal separation or dependent’s loss of eligibility, you must contact HR Benefits office within 30 days of that event and complete a new insurance form canceling your dependent from your plan. Failure to do this may result in your having to pay for additional coverage your dependent is not eligible to use.
 

Enrollment

Enroll in COBRA coverage using the COBRA form on the Benefits forms page.

Complete the form
 

COBRA health rates

The monthly rates are shown for the July 1, 2022, to June 30, 2023, plan year.

UK-HMO, UK Indemnity

Coverage level Monthly rate
Employee only $624.24
Employee + children $939.42
Employee + spouse $1,250.52
Employee + family $1,561.62

UK-RHP

Coverage level Monthly rate
Employee only $643.62
Employee + children $975.12
Employee + spouse $1,298.46
Employee + family $1,623.84

UK-EPO

Coverage level Monthly rate
Employee only $852.72
Employee + children $1,279.08
Employee + spouse $1,704.42
Employee + family $2,130.78

 

UK-PPO

Coverage level Monthly rate
Employee only $628.32
Employee + children $944.52
Employee + spouse $1,259.70
Employee + family $1,573.86

UK-SAVER

Coverage level Monthly rate
Employee only $627.30
Employee + children $942.48
Employee + spouse $1,256.64
Employee + family $1,569.78 

 

COBRA dental rates

Monthly rates for the 2022-23 plan year.

UK Dental Care Basic

Coverage level Monthly rate
Employee only $12.49
Employee + children $39.37
Employee + spouse $24.75
Employee + family  $55.91

UK Dental Care Comprehensive

Coverage level Monthly rate
Employee only $27.67
Employee + children $66.55
Employee + spouse $66.55
Employee + family $88.96

Delta Dental Basic

Coverage level Monthly rate
Employee only $24.89
Employee + child(ren) $47.23
Employee + spouse $52.94
Employee + family $77.83

Delta Dental Enhanced

Coverage level Monthly rate
Employee only $33.66
Employee + children $71.20
Employee + spouse $74.26
Employee + family $115.77

 

COBRA vision rates

Monthly rates for the 2022-23 plan year.

EyeMed Essential

Coverage level Monthly rate
Employee only $8.67
Employee + children $15.50
Employee + spouse $16.32
Employee + family $21.83

EyeMed Enhanced

Coverage level Monthly rate
Employee only $21.83
Employee + children $38.76
Employee + spouse $40.80
Employee + family $54.67

Enrollment

Use the enrollment form for COBRA listed on the Forms page, and return to Scovell Hall, Benefits office (Room 112).