The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) provides for continued health insurance coverage at employees’ own expense if the employee, their spouse, or their dependents lose medical insurance, dental insurance, vision insurance, or Healthcare Flexible Spending Account (FSA) coverage because they terminate employment (for reasons other than gross misconduct); their work hours are reduced below the eligible status for these benefits; they die, divorce, or are legally separated; or a child ceases to be an eligible dependent. Applicable monthly COBRA rates are generally 102% of total premiums except for the FSA which regular monthly payments are made on an after-tax basis.
Consult the appropriate Summary Plan Descriptions for more details.
For individuals with disabilities, COBRA can be extended for a total of 29 months. Please use this form to notify EBPA of an individual who qualifies for the extension.
COBRA continuation coverage is administered by:
EBPA
37 Industrial Drive
Exeter, NH 03833
Telephone: 888-232-3203
Fax: 603-773-4420
2023 COBRA Costs
| Benefit/Coverage | Single | 2-Person | Family |
|---|---|---|---|
| Medical: Copay | $999.13 | $2,198.04 | $2,797.50 |
| Medical: Choice | $783.32 | $1,723.27 | $2,193.24 |
| Traditional Dental | $39.31 | $71.95 | $122.86 |
| Enhanced Dental | $45.68 | $83.59 | $142.75 |
| Preventive Dental | $26.31 | $48.15 | $82.23 |
| Vision | $10.38 | $19.88 | $32.24 |
2022 COBRA Costs
| Benefit/Coverage | Single | 2-Person | Family |
|---|---|---|---|
| Medical: Copay | $968.14 | $2,129.88 | $2,710.75 |
| Medical: Choice | $759.02 | $1,669.83 | $2,125.24 |
| Traditional Dental | $39.31 | $71.95 | $122.86 |
| Enhanced Dental | $45.68 | $83.59 | $142.75 |
| Preventive Dental | $26.31 | $48.15 | $82.23 |
| Vision | $9.99 | $19.11 | $31.01 |
