COBRA Premium Rates

The plan in which you are currently enrolled will be listed on the enrollment form included in the COBRA packet that will be mailed to your residing home address. You may be eligible to change plans within your category. Please contact University Benefits for more information.

UIChoice, UISelect and Dental II COBRA Rates

Effective Jan. 1, 2020, to Dec. 31, 2020

UIChoice, UISelect and Dentall II COBRA Rates for plan year 2020

Plan Name Single Employee
+ Spouse
Employee
+ Child(ren)
Family
UIChoice $696.66 $1,663.62 $1,357.62 $1,781.94
UISelect $580.38 $1,386.18 $1,131.18 $1,485.12
Dental II $45.90 $94.86 $102.00 $135.66

House Staff Classic COBRA Rates

**If you are a current House Staff member who matched or received their letter of intent after 1/1/2013, please review the rates for UIChoice, UISelect and Dental II plan above. 
If you matched or received a letter of intent prior to 1/1/2013, you and your qualified dependents are enrolled in the UI Classic Health and Dental Insurance plan(s) for House Staff members. The UI Classic Health Insurance plan is closed to new enrollees. 

Effective Jan. 1, 2020, to Dec. 31, 2020

House Staff Classic COBRA Rates for plan year 2020
Plan Name Single Employee
+ Spouse
Employee
+ Child(ren)
Family
Classic Health $565.08 $761.94 $1,340.28 $1,423.92
Classic Dental $34.68 $88.74 $71.40 $90.78

*Only EMERGENCY care is covered outside the provider network unless you reside at least 50 miles outside the area.


ABOUT OUR SITE: 
The information presented on our website describes only the highlights of the plans and does not constitute official plan documents. Additional terms and conditions may apply. If there are any discrepancies between the information contained herein and the official plan documents, the plan documents will govern. For more detailed information you may contact Wellmark Blue Cross/Blue Shield at toll-free number 800-524-9242 (TTY: 888-781-4262), Monday through Friday from 7:30 a.m. to 5:00 p.m. (Central Time). For more efficient service, please have your member ID number handy - it can be found on the front of your card.

Contact Information

University Benefits

Fax
319-335-2776
Campus Address
120 USB
Mailing Address

120 University Services Building
Iowa City, IA 52242-1911
United States

Hours
Monday-Friday, 8 a.m.-5 p.m.