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COBRA Rates, 2010-2011

UCSF RESIDENTS HEALTH INSURANCE

Effective 7/1/2010

Self
HEALTH NET (Medical + Rx): $376.29
BLUE CROSS (Medical + Rx): $480.39
DELTA (Dental): $27.74
VSP (Eye Care): $5.41

Self Plus Child(ren)
HEALTH NET (Medical + Rx): $652.00
BLUE CROSS (Medical + Rx): $849.25
DELTA (Dental): $37.16
VSP (Eye Care): $8.31

Self Plus Spouse/Domestic Partner
HEALTH NET (Medical + Rx): $894.16
BLUE CROSS (Medical + Rx): $1,037.98
DELTA (Dental): $56.01
VSP (Eye Care): $8.23

Family
HEALTH NET (Medical + Rx): $1,136.37
BLUE CROSS (Medical + Rx): $1,462.60
DELTA (Dental): $67.63
VSP (Eye Care): $12.83

COBRA premiums are paid directly to the insurance company(s) by the member at the time of enrollment and monthly thereafter for the duration of the elected coverage(s).