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Plan Rates and Summaries for COBRA and Early Retirees

Plan Rates and Summaries

2020 COBRA and Early Retiree Monthly Plan Rates

2020 Plan Comparison - This document includes information related to office visits, inpatient, ER, urgent care, wellness and prevention and medicine as they relate to each plan.

2020 Maximum Exposure Calculations - Please note these examples assume employee takes advantage of the Non-Tobacco Use Incentive and costs are incurred within the Anthem provider network.

CDHP 1

CDHP 2

Traditional Plan

Prescription Coverage

Carrier Contact Information

Federal Notices

Creditable Coverage Notice

Notice regarding Medicaid and the Children’s Health Insurance Program (CHIP)

USERRA (Military Leave) Notice

HIPAA Notice of Privacy Practices

NEWBORNS’ AND MOTHERS’ HEALTH PROTECTION ACT OF 1996

WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998

HIPAA NOTICE OF SPECIAL ENROLLMENT RIGHTS

Nondiscrimination Notice

Notice Regarding Wellness Program