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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 (2023)
CDHP 1 Single
Family
$694.21
$1,924.73
CDHP 1 with Non-Tobacco Use Incentive Single
Family
$616.86
$1,847.38
CDHP 2 Single
Family
$752.55
$2,091.41
CDHP 2 with Non-Tobacco Use Incentive Single
Family
$675.20
$2,014.06
Traditional Single
Family
$939.25
$2,656.29
Traditional with Non-Tobacco Use Incentive Single
Family
$861.90
$2,578.94
Wellness Incentive Rates   
CDHP 1 Single
Family
$662.38
$1,829.26
CDHP 1 with Non-Tobacco Use Incentive Single
Family
$585.03
$1,751.91
CDHP 2 Single
Family
$720.73
$1,995.94
CDHP 2 with Non-Tobacco Use Incentive Single
Family
$643.38
$1,918.59
Traditional Single
Family
$907.43
$2,560.82
Traditional with Non-Tobacco Use Incentive Single
Family
$830.08
$2,483.47
Dental and Vision Rates  
Dental Single
Family
$25.86
$67.89
Vision Single
Family
$5.17
$12.73

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.