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COBRA

The Federal Consolidated Omnibus Budget Reconciliation Act (COBRA) requires the state of Indiana to offer covered employees and eligible family members the opportunity for a temporary extension of health coverage at group rates when coverage under the health plan would otherwise end. You and your eligible dependents will receive a COBRA continuation offer for the health, dental and/or vision plans you are enrolled in at the time of employment separation.

Plan Coverage COBRA Insurance Rate (2020)
CDHP 1 Single
Family
$630.56
$1,746.12
CDHP 1 w/ Non-Tobacco Use Incentive Single
Family
$553.21
$1,668.77
CDHP 2 Single
Family
$688.06
$1,908.91
CDHP 2 w/ Non-Tobacco Use Incentive Single
Family
$610.71
$1,831.56
Traditional Single
Family
$871.05
$2,458.54
Traditional w/ Non-Tobacco Use Incentive Single
Family
$793.70
$2,381.19
Wellness Incentive Rates    
CDHP 1 Single
Family
$598.73
$1,650.65
CDHP 1 w/ Non-Tobacco Use Incentive Single
Family
$521.38
$1,573.30
CDHP 2 Single
Family
$656.24
$1,813.44
CDHP 2 w/ Non-Tobacco Use Incentive Single
Family
$578.89
$1,736.09
Traditional Single
Family
$839.23
$2,363.06
Traditional w/ Non-Tobacco Use Incentive Single
Family
$761.88
$2,285.71
     
Dental Single
Family
$25.86
$67.89
Vision Single
Family
$4.77
$11.67

Additional Information

Securian

Employees previously insured under the State of Indiana Term Life and Basic AD&D insurance program may elect to continue all or a portion of their in force insurance, as well as any in force insurance for dependents. Please contact Securian at 1-866-365-2374 if you have additional questions. 

Differences between converting and porting your life insurance can be reviewed in the Porting Life Insurance file. 

Porting Life Insurance Coverage: You may download the form or you may request continuation forms from Securian.
Conversion/Election to Transfer Life Insurance Coverage: You may download the form or you may request continuation forms from Securian.

The completed application must be received by Securian within the requested timeframe.