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Extended Self-Pay Coverage
Some COBRA participants are eligible for extending their coverage. If you and/or your dependents qualify for this extension, the Fund will notify you in writing.This extension of coverage must begin immediately following the expiration of the COBRA coverage.
|  | 2010 Monthly Premiums
for Extended Self-pay CoverageFee-for-Service Dental and Vision Plans Premiums Employee -- $51.75Spouse -- $49.41Child(ren) -- $79.54Spouse + Child(ren) -- $128.95Employee + Spouse -- $101.16Employee + Child(ren) -- $131.29Employee + Spouse + Child(ren) -- $180.70 | |
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Summary Plan Description