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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.

Details governing rights of Extended Self-Pay coverage are very intricate. Please review your Summary Plan Description effective January 1, 2005.Summary Plan Description for specifics.
The rates for Extended Self-Pay coverage are subject to change.
  • Click here for the current Extended Self-Pay Fee-for-service Dental and Vision rate table.
  • Click here for the current Extended Self-Pay Manged Care Dental and Vision rate table.
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