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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.

PlanCoverageCOBRA Insurance Rate (2021)
CDHP 1Single
Family
$630.56
$1,746.12
CDHP 1 w/ Non-Tobacco Use IncentiveSingle
Family
$553.21
$1,668.77
CDHP 2Single
Family
$688.06
$1,908.91
CDHP 2 w/ Non-Tobacco Use IncentiveSingle
Family
$610.71
$1,831.56
TraditionalSingle
Family
$871.05
$2,458.54
Traditional w/ Non-Tobacco Use IncentiveSingle
Family
$793.70
$2,381.19
Wellness Incentive Rates  
CDHP 1Single
Family
$598.73
$1,650.65
CDHP 1 w/ Non-Tobacco Use IncentiveSingle
Family
$521.38
$1,573.30
CDHP 2Single
Family
$656.24
$1,813.44
CDHP 2 w/ Non-Tobacco Use IncentiveSingle
Family
$578.89
$1,736.09
TraditionalSingle
Family
$839.23
$2,363.06
Traditional w/ Non-Tobacco Use IncentiveSingle
Family
$761.88
$2,285.71
   
DentalSingle
Family
$25.86
$67.89
VisionSingle
Family
$4.77
$11.67

Additional Information

A temporary extension of the time frame to elect continuation of medical, dental, and vision coverage under COBRA was put in place effective March 1, 2020. However, the time frame to elect continuation coverage is scheduled to be reinstated beginning March 1, 2021.

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.