|
|
|
COBRA:
Medical only, dental only or both
When you leave the Boeing Company - Employees represented by SPEEA and the Pilots Association - 2009
Boeing/Medical
COBRA Rates for SPEEA-represented employees
| Effective Date |
07/01/2008-06/30/2009 |
|
|
|
|
| Description |
Premium |
|
TOTAL PREMIUM |
|
|
Option Name |
Plan Type |
Location |
You Only |
You + Spouse |
You + Child(ren) |
You + Spouse and Child(ren) |
| Group Health Cooperative-HMO Puget Sound |
HMO |
Washington (Seattle) |
373.58 |
747.16 |
747.16 |
1,120.74 |
| COBRA |
|
|
381.05 |
762.10 |
762.10 |
1,143.15 |
| Kaiser-CCP-Portland, OR |
CCP/POS |
Oregon (Portland) |
394.61 |
789.22 |
789.22 |
1,183.83 |
| COBRA |
|
|
402.50 |
805.00 |
805.00 |
1,207.51 |
| Kaiser-HMO S. CA |
HMO |
California (South) |
357.19 |
714.38 |
714.38 |
1,071.57 |
| COBRA |
|
|
364.33 |
728.67 |
728.67 |
1,093.00 |
| Regence-Select Network Plan EPO-Seattle,WA |
EPO |
Washington (Seattle) |
404.73 |
809.46 |
809.46 |
1,214.19 |
| COBRA |
|
|
412.82 |
825.65 |
825.65 |
1,238.47 |
| Regence-Selections Plus CCP-Portland, OR |
CCP/POS |
Oregon (Portland) |
354.38 |
708.76 |
708.76 |
1,063.14 |
| COBRA |
|
|
361.47 |
722.94 |
722.94 |
1,084.40 |
| Regence-Traditional Medical Plan-All Areas |
PPO |
All Other |
362.32 |
724.64 |
724.64 |
1,086.96 |
| COBRA |
|
|
369.57 |
739.13 |
739.13 |
1,108.70 |
| Regence-Traditional Medical Plan-CA |
PPO |
California |
465.46 |
930.92 |
930.92 |
1,396.38 |
| COBRA |
|
|
474.77 |
949.54 |
949.54 |
1,424.31 |
| Regence-Traditional Medical Plan-OR |
PPO |
Oregon (Portland) |
426.23 |
852.46 |
852.46 |
1,278.69 |
| COBRA |
|
|
434.75 |
869.51 |
869.51 |
1,304.26 |
| Regence-Traditional Medical Plan-Philadelphia,PA |
PPO |
Pennsylvania (Philadelphia) |
362.32 |
724.64 |
724.64 |
1,086.96 |
| COBRA |
|
|
369.57 |
739.13 |
739.13 |
1,108.70 |
| Regence-Traditional Medical Plan-WA |
PPO |
Washington (Seattle) |
358.41 |
716.82 |
716.82 |
1,075.23 |
| COBRA |
|
|
365.58 |
731.16 |
731.16 |
1,096.73 |
Boeing/Medical - Utah COBRA Rates Jan - Dec 2009
| Aetna PPO+Account (O) - PPO - All Locations |
You Only |
You + Spouse |
You + Child(ren) |
You + Spouse and Child(ren) |
| Premium |
$253.30 |
$506.60 |
$506.60 |
$759.90 |
| COBRA |
$258.37 |
$516.73 |
$516.73 |
$775.10 |
| SelectHealth - HMO - Utah |
|
|
|
|
| Premium |
$391.80 |
$783.60 |
$783.60 |
$1,175.40 |
| COBRA |
$399.64 |
$799.27 |
$799.27 |
$1,198.91 |
| Traditional Medical Plan - PPO - Utah |
|
|
|
|
| Premium |
$443.85 |
$887.70 |
$887.70 |
$1,331.55 |
| COBRA |
$452.73 |
$905.45 |
$905.45 |
$1,358.18 |
COBRA is calculated at 102% of premium - Rounding may occur and actual rates may vary
slightly
*subject to change
pending outcome of negotiations and contract ratification
|
