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COVA Care Monthly Employee Premiums
Effective July 1, 2004*

* The following employee monthly contributions are subject to
change by the 2004 General Assembly.

Coverage

Employee Single

Employee Plus
One

Family

COVA Care Basic Plan - No Options

$32
($4 increase
over 2003)

$80
($10 increase
over 2003)

$113
($14 increase
over 2003)


No COVA Care benefit changes are proposed. Additional information on the total state COVA Care basic premium (employee plus state contributions), Kaiser Permanente health plan rates and premiums for the options that may be added to the COVA Care basic plan will be announced later. These options include Out-of-Network; Expanded Dental; Vision, Hearing and Expanded Dental; Out-of-Network and Expanded Dental; and Out-of-Network, Vision, Hearing and Expanded Dental coverage.

For more on Governor Warner's executive budget for 2004-06, visit
www.governor.virginia.gov.