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If you are a February, May or September graduate, or if you lose your eligibility for dental and vision coverage due to loss of employment or student status, you are eligible to extend your coverage for up to 18 months by paying the premiums yourself through the Consolidated Omnibus Budget Reconciliation Act (COBRA). To learn more about your COBRA rights, click here. Or you can view a Frequently Asked Questions on COBRA provided by the Department of Labor here.
Only dental & vision benefits are eligible for COBRA extension.
Eligibility for COBRA
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If you are a February graduate, you will no longer be eligible for trust benefits as of April 30 of the same year as your graduation.
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If you are a May graduate, you will no longer be eligible for trust benefits as of October 31 of the same year as your graduation.
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If you are a September graduate, you will no longer be eligible for trust benefits as of October 31 of the same year as your graduation.
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If you withdraw as a student, or fail to meet the minimum earnings, you will lose your eligibility thirty (30) days from the aforementioned event.
If you choose to continue your coverage through COBRA, however, there will be no break in your coverage. COBRA coverage begins on the date that your insurance coverage would otherwise have been lost by reason of a qualifying event.
How to Enroll
To enroll, please fill out a COBRA application form, available here, and sign it and return to UAW Dental and Vision Trust, 329 Middlesex House, UMass Amherst 01003.
You have sixty (60) days from the date of your loss of coverage to decide whether to continue your dental and/or vision coverage through COBRA. If you decide to do so, you will then be responsible for paying any premium payments that would have been due since the date your original plan expired. If you choose COBRA coverage, your monthly premium will be as noted in the table below, depending upon which plan you choose, with your first premium payment (retroactive to your loss of coverage date) due to be paid by 45 days from the date you elect coverage, or your loss of coverage date, whichever is sooner.
New: 2009-10 COBRA Monthly Premium Rates
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Individual Coverage |
Individual +1 Coverage |
Family Coverage |
Delta Dental PPO Plus
Premier |
$29.80 per month
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Not applicable |
$88.42 per month |
| EyeMed Vision Care |
$6.60 per month |
$12.54 per month |
$18.36 per month |
*all premiums above include a 2% administrative fee.
Note: any dependent on a GEO/UAW dental or vision family plan who is losing coverage may elect to enroll for their own individual coverage through COBRA if the original subscriber declines COBRA coverage for him or herself.
Payment
Please do not send payment along with your application form. We will bill you once your application has been processed. Please note that failure to make COBRA payments in a timely manner is grounds for termination from the plans.
You may pay via check or credit card, upon receiving your bill. Checks should be made out to "UAW/UMass-BOT.
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