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Indiana State Personnel Department

SPD > Benefits > COBRA 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
Consumer Driven Health Plan 1 Single
Family

Single
Family
$486.69
$1,307.75
w/ non-tobacco incentive:
$409.34
$1,230.40
Consumer Driven Health Plan 2 Single
Family

Single
Family
$619.42
$1,649.32
w/ non-tobacco incentive:
$542.07
$1,571.97
Traditional PPO Single
Family

Single
Family
$950.79
$2,531.38
w/ non-tobacco incentive:
$873.44
$2,454.03
Delta Dental Single
Family
$24.80
$65.24
Anthem Blue View Vision Select Single
Family
$3.62
$9.19

Additional Information

Minnesota Life

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 Minnesota Life at 1-866-293-6047 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 Minnesota Life.
Conversion/Election to Transfer Life Insurance Coverage: You may download the form or you may request continuation forms from Minnesota Life.

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