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COBRA Rates, 2009-2010

UCSF RESIDENTS HEALTH INSURANCE

Effective 7/1/2009

Self
HEALTH NET (Medical + Rx): $339.88
BLUE CROSS (Medical + Rx): $436.53
DELTA (Dental): $27.74
VSP (Eye Care): $5.41

Self Plus Child(ren)
HEALTH NET (Medical + Rx): $588.93
BLUE CROSS (Medical + Rx): $771.72
DELTA (Dental): $37.16
VSP (Eye Care): $8.31

Self Plus Spouse/Domestic Partner
HEALTH NET (Medical + Rx): $807.67
BLUE CROSS (Medical + Rx): $943.22
DELTA (Dental): $56.01
VSP (Eye Care): $8.23

Family
HEALTH NET (Medical + Rx): $1,026.44
BLUE CROSS (Medical + Rx): $1,329.08
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).