Plan Rates and Summaries for COBRA and Early Retirees

Plan Rates and Summaries

• 2024 COBRA and Early Retiree Monthly Plan Rates
• 2024 COBRA and Early Retiree Plan Comparison
• 2024 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

• Plan Summary
• Summary of Benefits & Coverage
• Medical Benefit Booklet

CDHP 2

• Plan Summary
• Summary of Benefits & Coverage
• Medical Benefit Booklet

Traditional Plan

• Plan Summary
• Summary of Benefits & Coverage
• Medical Benefit Booklet

Prescription Coverage

• CVS Caremark Plan Certificate

Vision

• 2024 Vision Plan Benefit Summary
• 2024 Vision Benefit Booklet

Dental

• 2024 Dental Plan Benefit Summary
• 2024 Dental Plan Certificate Booklet

Carrier Contact Information

• View contact information

Federal Notices

• Creditable Coverage Notice: Download notice
• Notice regarding Medicaid and the Children’s Health Insurance Program (CHIP): Download notice
• USERRA (Military Leave) Notice: Download notice
• HIPAA Notice of Privacy Practices: Download notice
• NEWBORNS’ AND MOTHERS’ HEALTH PROTECTION ACT OF 1996: Download notice
• WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998: Download notice
• HIPAA NOTICE OF SPECIAL ENROLLMENT RIGHTS: Download notice
• Nondiscrimination Notice: Download notice
• Notice Regarding Wellness Program: Download notice
• Your Rights and Protections Against Surprise Medical Bills: Download notice