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Benefits

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COBRA

Contact

TRI-AD
221 West Crest Street, Suite 300
Escondido, CA 92025-1737

Tel: 1- 800-733-7555
www.tri-ad.com

Information

Under the provisions of the Federal Consolidated Omnibus Budget Reconciliation Act (COBRA), employees and family members who lose TSRI health coverage may elect to continue health benefits (medical, prescription, vision, mental health, dental and/or Employee Assistance Program (EAP)) and Health Care Spending Account when certain qualifying events occur.

2013 Monthly Rates

California

Comprehensive/
TSRI Graduate
HMO
Catatstrophic
Dental
EAP
EE Only
$643.09/$682.03
$403.84
$264.87
$39.11
$6.97
EE + Child(ren)
$1,073.92/$1,138.95
$674.50
$442.31
$65.31
$11.63
EE + Spouse
$1,285.88/$1,363.77
$807.68
$529.43
$78.21
$13.92
EE + Family
$1,717.03/$1,821.01
$1,078.61
$707.20
$104.44
$18.59

Florida

Comprehensive/
TSRI Graduate
HMO
Catatstrophic
Dental
EAP
EE Only
$643.09/$682.03
$294.40
$264.87
$39.11
$2.23
EE + Child(ren)
$1,073.92/$1,138.95

$564.56

$442.31
$65.31
$2.23
EE + Spouse
$1,285.88/$1,363.77
$701.91
$529.43
$78.21
$2.23
EE + Family
$1,717.03/$1,821.01
$898.10
$707.20
$104.44
$2.23