2016 rate sheet

The University of Akron
COBRA Monthly Premium Rates
January 1, 2016 - December 31, 2016
Apex 90% Gold Plan
q
Individual
$667.08
q
Employee + Spouse - or - Same Sex Domestic Partner
$1,334.16
q
Individual + Child(ren)
$1,266.84
q
Employee + Spouse - or - Same Sex Domestic Partner + Child(ren)
$1,933.92
Apex 80% Blue Plan
q
Individual
$626.28
q
Employee + Spouse - or - Same Sex Domestic Partner
$1,252.56
q
Individual + Child(ren)
$1,188.30
q
Employee + Spouse - or - Same Sex Domestic Partner + Child(ren)
$1,815.60
Delta Dental
q
Individual
$29.58
q
Employee + Spouse - or - Same Sex Domestic Partner
$61.20
q
Individual + Child(ren)
$57.12
q
Employee + Spouse - or - Same Sex Domestic Partner + Child(ren)
$87.72
VSP – Vision
q
Individual
$10.04
q
Individual + One person (dependent)
$20.07
q
Individual + Two or more persons (dependents)
$29.37