TRI-AD
221 West Crest Street, Suite 300
Escondido, CA 92025-1737
Tel: 1- 800-733-7555
www.tri-ad.com
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.
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 |