
When
an employee leaves or has another significant change in their life
that would result in losing eligibility for health insurance, COBRA
regulates the continuance of an employee’s or their dependant's
insurance.
Disregard
of COBRA can result in fines and other legal repercussions - especially
if someone’s health ends up at risk. The best way to avoid
problems is to ensure that your record keeping is accurate and
that you are aware of COBRA guidelines.

Private/federal employers with 20 or more employees. Employers
with under 20 employees fall under state continuance which closely
follows COBRA requirements.

A COBRA notice must be provided at the start of Employee coverage
or hire.
A COBRA election notice must be provided within 14 days after
notified of qualifying event; delivery in person or by first class
mail to each person who qualifies.
The employer must notify plan administrator of an employee death,
termination, medicare qualification, or a reduction of work hours
within 30 days.
(fines
of up to $100 per day for not complying with above requirements)

To notify employer/plan adminstrator within 60 days of: divorce,
legal separation, or change in dependant status (e.g. leaving
school).
Must respond to election notice within 60 days and will have an
additional 45 days before premium payment is due. (Each person
who qualifies may choose to elect coverage separately.)
(neglecting
to respond to election notice within 60 days will result in loss
of COBRA coverage)

Beneficiary may be billed for up to 102% of the group health rate.
Plan administrator is not required to send a monthly premium invoice,
but must make it clear when payment will be due. Beneficiary is
required to make timely payments to avoid cancellation of coverage.
This
is an overview of the time requirements under COBRA, for a thorough
review please contact
us for a COBRA FAQ Sheet. |