While you were employed, you employer may have paid some or all of the premium for you and your covered dependents. Once you go on COBRA, you pay the entire premium plus a 2% administration fee. Additionally, your first payment can be an extra punch to the pocket book.
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Most employers are aware that the Consolidated Omnibus Budget Reconciliation Act (COBRA) requires group health plans sponsored by covered employers to allow qualified beneficiaries to have “COBRA continuation coverage” in the event that they lose group health plan coverage for specified reasons.
Some hospitals or other benefit providers will also pay for COBRA coverage on behalf of patients. This can occur where the patient seeks treatment during a COBRA election period and the patient’s only potential source of coverage is through COBRA. The benefit provider will sometimes agree to pay for a qualified beneficiary’s COBRA coverage because, without that coverage, it might have to provide services with no realistic prospect of being paid.
Employers are not required to pay for a qualified beneficiary’s COBRA ...
The statute expressly permits plan administrators to require payment of a premium for any period of COBRA coverage. However, the premium generally may not exceed 102% of the “applicable premium” for the period of coverage. Different rules apply if coverage is extended to 29 months due to an individual who was deemed disabled at any time during ...
Different rules apply if coverage is extended to 29 months due to an individual who was deemed disabled at any time during the first 60 days of COBRA coverage. In such cases, the COBRA premium may be as much as 150% of the applicable premium for months 19 through 29 of COBRA coverage (or months 19 through 36, for disabled individuals who incur ...
Third-party payment often occurs in the divorce setting. For example, it is very common that, under a divorce decree, an employee may be required to maintain and pay for health coverage for his or her ex-spouse.
COBRA is continuation coverage . This means you are “continuing’ the coverage you can prior to the qualifying event. However, if you elect COBRA, you will have the right to change your coverage during an annual open enrollment period.
There is a common misconception that COBRA only applies to your health plan option. This is false. COBRA coverage is available for more than just medical insurance. Any employer-sponsored benefit is potentially eligible for COBRA coverage.
In this case, COBRA can be the path of least resistance and presents an easy gap coverage option. Alternatively, you may anticipate being out of work for an extended period of time and won’t have access to a group coverage option.
After a qualifying event, you have a limited period of time in which to elect COBRA and make your initial payment in full. While you are entitled to 18 to 36 months of COBRA coverage, you must enroll in COBRA and make your initial payment within the required COBRA timelines.
COBRA is sometimes viewed as a necessary evil. People will sometimes say (or complain) about all the things they wish they understood before enrolling in COBRA. Today, we are going to give you a sneak peak into the 5 questions you should understand before you enroll in COBRA.