Header

Info Agency Main Banner Content

Article

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 (2019)
Wellness Consumer Driven Health Plan Single
Family

Single
Family
$589.19
$1,635.53
w/ non-tobacco incentive:
$511.84
$1,558.18
Consumer Driven Health Plan 1 Single
Family

Single
Family
$641.03
$1,767.07
w/ non-tobacco incentive:
$563.68
$1,689.72
Consumer Driven Health Plan 2 Single
Family

Single
Family
$874.94
$2,394.67
w/ non-tobacco incentive:
$797.59
$2,317.32
Traditional PPO Single
Family

Single
Family
$1,452.28
$3,987.18
w/ non-tobacco incentive:
$1,374.93
$3,900.83
Anthem Dental Complete Single
Family
$25.86
$67.89
Anthem Blue View Vision Select 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.