2025 Retiree & Cobra Medical/Dental/Vision Rates

Retiree Rates

NC-Plan V: HMA 

• Retiree Enrollee          $987.25
• Retiree + 1       $1,976.45
• Retiree + 2 or more     $2,771.96

Kaiser Traditional Medical   

• Retiree Enrollee          $977.64
• Retiree + 1       $1,955.28
• Retiree + 2 or more     $2,639.63

NC-Dental: HMA       

• Retiree Enrollee          $59.22
• Retiree + 1       $112.85
• Retiree + 2 or more     $181.79

Kaiser Dental Composite      

• Retiree Enrollee, +1,+ 2 or more        $173.95

NC-Vision: HMA        

• Retiree Enrollee          $13.91
• Retiree + 1       $27.85
• Retiree + 2 or more     $39.06

The Standard: Life Insurance

• Basic Life - Licensed & Classified      $0.53
• Basic Life - Administrator & Confidential        $4.40

 

Cobra Rates

NC Plan V      

• COBRA Enrollee          $1,006.99
• COBRA + 1      $2,015.98
• COBRA + 2 or more     $2,827.40

NC Plan 1x    

• COBRA Enrollee         $1,359.33
• COBRA + 1      $2,721.37
• COBRA + 2 or more     $3,816.70

Kaiser Medical          

• COBRA Enrollee         $997.19
• COBRA + 1     $1,994.39
• COBRA + 2 or more     $2,692.42

Kaiser HD Medical    

• COBRA Enrollee          $535.34
• COBRA + 1     $1,070.66
• COBRA + 2 or more   $1,445.40

NC Dental      

• COBRA Enrollee          $60.40
• COBRA + 1      $115.11
• COBRA + 2 or more   $185.42

Kaiser Dental Composite      

• COBRA Enrollee, +1,+ 2 or more       $177.43

NC HMA Vision         

• COBRA Enrollee         $14.18
• COBRA + 1      $28.40
• COBRA + 2  or more    $39.84