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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 (2022)
CDHP 1Single
Family
$660.79
$1,832.05
CDHP 1 w/ Non-Tobacco Use IncentiveSingle
Family
$583.44
$1,754.70
CDHP 2Single
Family
$718.29
$1,994.83
CDHP 2 w/ Non-Tobacco Use IncentiveSingle
Family
$640.94
$1,917.48
TraditionalSingle
Family
$901.28
$2,544.46
Traditional w/ Non-Tobacco Use IncentiveSingle
Family
$823.93
$2,467.11
Wellness Incentive Rates  
CDHP 1Single
Family
$628.97
$1,736.57
CDHP 1 w/ Non-Tobacco Use IncentiveSingle
Family
$551.62
$1,659.22
CDHP 2Single
Family
$686.47
$1,899.36
CDHP 2 w/ Non-Tobacco Use IncentiveSingle
Family
$609.12
$1,822.01
TraditionalSingle
Family
$869.46
$2,448.99
Traditional w/ Non-Tobacco Use IncentiveSingle
Family
$792.11
$2,371.64
   
DentalSingle
Family
$25.86
$67.89
VisionSingle
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.