The first and best option is to maintain your group insurance through your prior employer. This information will assist you in understanding the COBRA and the protection that it provides.
What is COBRA?
The Consolidated
Omnibus Budget Reconciliation Act of 1985 (COBRA) requires most employers
with group health plans to offer employees the opportunity to continue temporarily
their group health care coverage under their employer's plan if their coverage
otherwise would cease due to termination, layoff, or other change in employment
status (referred to as "qualifying events").
What time periods apply to this protection?
Up to 18 months for covered
employees.
Up to 29 months is available to employees who are determined to have been disabled at any time during the first 60 days of COBRA coverage.
Up to 36 months for spouses and dependents facing a loss of employer-provided coverage due to an employee's death, a divorce or legal separation.
What is the definition of a Covered Employee?
Covered
employee "means an individual who is (or was) provided coverage under
a group health plan by virtue of the performance of services by the individual
for 1 or more persons maintaining the plan. This definition is expansive and
includes retirees, independent contractors, self-employed persons and partners
of a partnership.
What Plans Are Subject to COBRA?
Virtually
all group health plans maintained by employers for their employees are subject
to COBRA's provisions, include group health plans of corporations, partnerships,
tax exempt organizations, state and local governments. This also includes
Health Care Spending Accounts.
What Plans Are Not Subject to COBRA?
Small employer plans with fewer than 20 employees
Federal Government's Group Health Plan (separate protection is available)
What is the purpose of the Initial COBRA
Notice?
The Initial
COBRA notice informs the plan participants (and his or her spouse if any)
their rights under COBRA "at the time of commencement of the coverage
under the plan."
Within what time period does the Qualified Beneficiary have the option of electing COBRA?
A qualified
beneficiary may elect COBRA coverage at any time within 60 days after the
date plan coverage terminates, or, if later 60 days after the date of the
notice to the qualified beneficiary from the plan administrator. The 60-day
period permits a qualified beneficiary to "adopt a wait-and-see approach
to continued coverage, and then elect if and when medical care is required
during the election period. If the plan administrator has not sent the notice
of qualifying event, the election period remains open. The 60 day period is
a minimum.
What are the Premium Payment Deadlines
regarding COBRA coverage?
A plan may not require any payment until 45 days after the qualified beneficiary's
initial election. If a qualified beneficiary fails to make the initial premium
payment within the 45-day period, the plan administrator may terminate the
COBRA coverage. Thereafter, payments are due on the first of each month, subject
to a 30-day grace period.
What are the benefits of COBRA coverage?
Although expensive COBRA coverage is generally available
at a rate lower than individual insurance.
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