COBRA

The Federal Consolidated Omnibus Budget Reconciliation Act (COBRA) requires the state of Indiana to offer covered employees and eligible family members the opportunity for a temporary extension of health coverage at group rates when coverage under the health plan would otherwise end. You and your eligible dependents will receive a COBRA continuation offer for the health, dental and/or vision plans you are enrolled in at the time of employment separation.

Plan Coverage COBRA Insurance Rate (2017)
Wellness Consumer Driven Health Plan Single
Family

Single
Family
$543.17
$1,492.19
w/ non-tobacco incentive:
$465.82
$1,414.84
Consumer Driven Health Plan 1 Single
Family

Single
Family
$594.89
$1,623.73
w/ non-tobacco incentive:
$517.54
$1,546.38
Consumer Driven Health Plan 2 Single
Family

Single
Family
$815.93
$2,223.22
w/ non-tobacco incentive:
$738.58
$2,145.87
Traditional PPO Single
Family

Single
Family
$1,336.92
$3,650.65
w/ non-tobacco incentive:
$1,259.57
$3,573.30
Anthem Dental Complete Single
Family
$25.86
$67.89
Anthem Blue View Vision Select Single
Family
$3.62
$9.19

Additional Information

Securian

Employees previously insured under the State of Indiana Term Life and Basic AD&D insurance program may elect to continue all or a portion of their in force insurance, as well as any in force insurance for dependents. Please contact Securian at 1-866-365-2374 if you have additional questions. 

Differences between converting and porting your life insurance can be reviewed in the Porting Life Insurance file. 

Porting Life Insurance Coverage: You may download the form or you may request continuation forms from Securian.
Conversion/Election to Transfer Life Insurance Coverage: You may download the form or you may request continuation forms from Securian.

The completed application must be received by Securian within the requested timeframe.