2009 Vision Monthly Rates
| Subscriber Only |
Subscriber and Spouse |
Subscriber and Child(ren) |
Subscriber and Family |
COBRA Child(ren) |
|
|---|---|---|---|---|---|
| Active Employees | $7.50 | $12.20 | $12.40 | $18.90 | N/A |
| Leave of Absence | $7.50 | $12.20 | $12.40 | $18.90 | N/A |
| COBRA Subscriber | $7.65 | $12.44 | $12.65 | $19.28 | $5.00 |
| ARRA COBRA Subscriber | $2.68 | $4.35 | $4.43 | $6.75 | $1.75 |
| Subscriber Only |
Subscriber and Spouse |
Subscriber and Child(ren) |
Subscriber and Family |
|
|---|---|---|---|---|
| Retirees, Long-Term Disability, Terminated Vested and Survivor Under Age 65 |
$7.21 | $14.29 | $14.53 | $17.17 |
| Retirees, Long-Term Disability, Terminated Vested and Survivor Age 65 and Older |
$7.64 | $15.15 | $15.40 | $18.20 |