2024 COBRA Rates

Delta Dental DPPO Low

Coverage Tier COBRA Rate
Individual $39.12
Individual and Spouse $75.35
Individual and Children $80.08
Family $133.17

Delta Dental High

Coverage Tier COBRA Rate
Individual $50.85
Individual and Spouse $97.93
Individual and Children $104.08
Family $173.07

Harvard Pilgrim Health Care (HPHC) Best Buy HMO HSA 

Coverage Tier COBRA Rate
Individual $843.88
Individual and Spouse $1,814.33
Individual and Children $1,603.36
Family $2,603.44

Harvard Pilgrim Health Care (HPHC) Best Buy HMO

Coverage Tier COBRA Rate
Individual $900.58
Individual and Spouse $1,936.24
Individual and Children $1,711.09
Family $2,778.38

Harvard Pilgrim Health Care (HPHC) HMO

Coverage Tier COBRA Rate
Individual $967.67
Individual and Spouse $2,080.51
Individual and Children $1,838.59
Family $2,985.37

Harvard Pilgrim Health Care (HPHC) PPO

Coverage Tier COBRA Rate
Individual $1,284.11
Individual and Spouse $2,760.83
Individual and Children $2,439.81
Family $3,961.61

VSP Vision Plan

Coverage Tier COBRA Rate
Individual $5.10
Individual and Spouse $11.24
Individual and Children $10.49
Family $17.96

Member Services Information: After You Enroll

Note: If you are on an HMO Plan and move out of the service area, you must notify HealthEquity/Wageworks within 31 days of your relocation and enroll in the PPO plan to continue your health insurance coverage. HPHC may not cover out of network services.

Open Enrollment: If you are currently enrolled in a health and/or dental program, a plan change may be made during the open enrollment period. Open enrollment is held during November or December with new coverage effective January 1.