COBRA Rates & Other Information

Cost of COBRA Coverage 

Under COBRA insurance, you will pay the premiums you paid as an employee, plus the premium the University paid on your behalf, plus a two percent administrative fee.
 
Because this is a group insurance plan, even though you pay the full cost of coverage, it normally will be less than if you buy coverage on your own.
 
You will receive billing coupons and it will be your responsibility to pay them on time. PayFlex will not send additional notices or bills.
 
To ensure continued coverage, PayFlex must receive your initial payment within 45 days of the date you sign the COBRA Election Form. After that, monthly premiums are due the first of each month for each month of continuation coverage.
 
If PayFlex does not receive these payments within 31 days of the due date, your coverage will be terminated, and it cannot be reinstated.
 
The chart below provides detailed information about the monthly COBRA rates for the period January 1, 2014, through December 31, 2014.  Rates typically are adjusted annually. 
Plan
Employee Only
Employee & Child(ren )
Employee & Spouse
Employee & Family
Aetna Princeton Health Plan (PHP)
$679.32
$1,243.38
$1,501.44
$2,106.30
UnitedHealthcare
Princeton Health Plan (PHP)
$679.32
$1,243.38
$1,501.44
$2,106.30
Aetna HMO
$536.52
$981.24
$1,185.24
$1,661.58
Aetna High Deductible Plan
$679.32
Not applicable
Not applicable
Not applicable
J–1 Visa Plan
$679.32
$1,243.38
$1,501.44
$2,106.30
Vision Service Plan
Vision Care Plan
$13.28
$21.74
$21.34
$35.06
MetLife Basic Option PPO Dental Plan
$21.04
$48.97
$44.93
$73.83
Aetna DMO
$27.67
$53.96
$55.81
$77.12
MetLife High Option PPO Dental Plan
$67.57
$132.41
$136.36
$188.36


2013 Cobra Rates

Making Changes or Stopping Coverage 

During the University’s annual Benefits Open Enrollment Period after you begin COBRA coverage, you may be able to make changes to your coverage.
 
If you or an eligible COBRA beneficiary has a qualifying status change/event during COBRA coverage, you must notify Payflex within 31 days of the event in order to adjust your coverage.
 
Examples of status change events include: 
  • birth or adoption
  • marriage or divorce
  • loss of dependent status 
Please notify PayFlex in writing of any change in your address and/or telephone number. Be sure to identify yourself as a COBRA participant.
 
PayFlex Systems
P.O. Box 3039
Omaha, NE 68103-3039
(800) 284-4885
 
During your COBRA continuation period, you also will receive written notification of the University’s annual Benefits Open Enrollment Period (normally in October) to provide you with an opportunity to make allowed plan changes.
 
If you have any questions regarding COBRA coverage or plan benefits, please contact PayFlex Systems at (800) 284-4885. 

Coordination with Other Medical Plans 

If you become covered by another medical plan during the 18 months of COBRA coverage and the other plan’s pre – existing condition limitation is for a period of time that is less than the total number of months you were covered under the University’s group health care plan, you may be required to join the new employer’s group plan and terminate your continued coverage through Princeton’s group plan.
 
If the Social Security Administration (SSA) determines that you or any of your covered dependents are disabled at the time of your termination of employment with the University or at any time during the first 60 days of COBRA continuation coverage, then the 18 month period of coverage for the disabled individual and all qualified beneficiaries who were covered at the time of the original qualifying event, may be extended to 29 months from the date employment terminated with the University.
 
If you qualify for Social Security and the Social Security Administration (SSA) determines that you or any of your covered dependents are disabled at the time of your termination of employment with the University, or at any time during the first 60 days of COBRA continuation coverage, the 18 month period of COBRA coverage may be extended to 29 months from the date your employment at the University for the disabled individual and all eligible dependents already covered.
 
If this is the case, you must notify the Benefits Team with a copy of the SSA award letter within 60 days of the date of the determination made by the SSA and before the original 18 months of continuation coverage expires. To ensure that you qualify for the additional 11 months of coverage continuation, you must adhere to these time frames. 

When COBRA Coverage Ends 

When COBRA coverage for your medical plan ends, you may be eligible to enroll in an individual (non – group) medical plan. PayFlex Systems will provide you with information approximately three months before the date your coverage terminates.
 
When COBRA coverage for your vision care plan ends, you are not eligible to convert your insurance to a non-group vision care plan.
 
When COBRA coverage for your dental plan ends, you are not eligible to convert your insurance to a non-group dental care plan.
 
You can count on support from knowledgeable and responsive HR staff when you have a benefits question or problem. Just call or e mail us. We’re here to help! 
 

While the University intends to continue each of the benefit plans, the University reserves the right to terminate or amend any plan, at any time, and for any reason.