Commonwealth of Virginia
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Available Plans and Monthly Premiums
(Effective July 1, 2006 - June 30, 2007)


Extended Coverage (COBRA) Participant: For 18 and 36 months, pays the Total Premium + 2%;
for 19-29 months of disability, pays the Total Premium + 50%.
 
Health Plans
One Person
(You Only)
Plus One
(You and One Family Member)
Family
(You and Two or More Family Members)
COVA HDHP (High Deductible Health Plan)
Extended Coverage
19-29 Months Disability

$342

$503

$632
$930

$924
$1359
COVA Care (includes basic dental)
Extended Coverage
19-29 Months Disability

$426
$627

$789
$1161

$1154
$1697
COVA Care Plus Out-of-Network
Extended Coverage
19-29 Months Disability

$437
$642

$803
$1181

$1172
$1724
COVA Care Plus Expanded Dental
Extended Coverage
19-29 Months Disability

$439
$645

$814
$1197

$1190
$1751
COVA Care Plus Vision, Hearing and Expanded Dental
Extended Coverage
19-29 Months Disability


$448
$659


$830
$1221


$1212
$1782
COVA Care Plus Out-of-Network and Expanded Dental
Extended Coverage
19-29 Months Disability


$449
$660



$827
$1217



$1209
$1778

COVA Care Plus Out-of-Network, Vision, Hearing and Expanded Dental
Extended Coverage
19-29 Months Disability


$458
$674



$844
$1241



$1229
$1808

Kaiser Permanente HMO
Extended Coverage
19-29 Months Disability

$412
$606

$762
$1121

$1113
$1637