FY15 Retiree Dental COBRA Application and Rates doc format of retireecobradentalfy15.doc
- Dependents, including a former spouse, who lose retiree dental coverage, may continue retiree dental coverage for up to 36 months through the COBRA provision. The dependent will be billed for 102% of the premium under this option. For terminations before May 1, 2015.

FY16 Retiree Dental COBRA Application and Rates doc format of FY16 retireecobradental.doc
- Dependents, including a former spouse, who lose retiree dental coverage, may continue retiree dental coverage for up to 36 months through the COBRA provision. The dependent will be billed for 102% of the premium under this option. For terminations on or after May 1, 2015.


This information provided by the Group Insurance Commission .