COBRA Contacts (where to send premiums)
Health Net (HMO) COBRA
COBRA Group Number: 55509E
COBRA Customer Service Phone: 1-800-977-2207
Send Initial Application and Premium to:
Health Net
Attn: Cobra Dept
11971 Foundation Pl
Rancho Cordova CA 95670
or FAX to 916-935-4420
After the application is processed Health Net will mail you confirmation of your enrollment and information on where to send your future COBRA payments.
Blue Cross (PPO) and Delta Dental COBRA
Blue Cross COBRA Group Number: 175138M005
Delta Dental COBRA Group Number: 0510-0004
COBRA Customer Service Phone: 1-866-800-2272
Send Premium to:
Unicare COBRA
PO Box 14258
Orange, CA 92863-1258
Please note the enrollment form should be faxed to 1-800-482-4164 or emailed to
VSP COBRA
COBRA Group Number: 12170630-0002
COBRA Customer Service Phone: 1-800-877-7195
Sent Premium to:
Vision Service Plan
Atten: COBRA
P.O. BOX 997100
Sacramento, CA 95899-7100