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 (2022) |
| CDHP 1 | Single Family | $660.79 $1,832.05 |
| CDHP 1 w/ Non-Tobacco Use Incentive | Single Family | $583.44 $1,754.70 |
| CDHP 2 | Single Family | $718.29 $1,994.83 |
| CDHP 2 w/ Non-Tobacco Use Incentive | Single Family | $640.94 $1,917.48 |
| Traditional | Single Family | $901.28 $2,544.46 |
| Traditional w/ Non-Tobacco Use Incentive | Single Family | $823.93 $2,467.11 |
| Wellness Incentive Rates | ||
| CDHP 1 | Single Family | $628.97 $1,736.57 |
| CDHP 1 w/ Non-Tobacco Use Incentive | Single Family | $551.62 $1,659.22 |
| CDHP 2 | Single Family | $686.47 $1,899.36 |
| CDHP 2 w/ Non-Tobacco Use Incentive | Single Family | $609.12 $1,822.01 |
| Traditional | Single Family | $869.46 $2,448.99 |
| Traditional w/ Non-Tobacco Use Incentive | Single Family | $792.11 $2,371.64 |
| Dental | Single Family | $25.86 $67.89 |
| Vision | Single Family | $4.77 $11.67 |
Additional Information
- Plan Rates and Summaries
- Benefiting You
- COBRA frequently asked questions
- COBRA Overview
- 2022 COBRA Monthly Plan Rates
- Carrier Contact Information
- U.S. Department of Labor COBRA information
- COBRA & Early Retiree wellness 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.
