Can you drop a dependent from COBRA?

Asked by: Arnaldo Carter  |  Last update: February 6, 2025
Score: 4.7/5 (36 votes)

Generally, COBRA requires that an employee, spouse or dependent child be covered by the plan the day prior to the qualifying event. However, there is an exception in the regulation regarding spouses or dependent children who are dropped by an employee in anticipation of divorce or legal separation.

Can you remove dependents from COBRA?

Yes. When you get the election form in the mail, you may choose your beneficiary coverage. Once the plan is back in effect, you may be able to remove dependents, but not add them unless the employer allows it or you have a qualifying event.

Can a dependent be removed from health insurance?

Dependents may be removed from your plan at any time. If dependent has gained other coverage, a copy of their new insurance card is required.

What is the COBRA loophole?

If you decide to enroll in COBRA health insurance, your coverage will be retroactive, meaning it will apply to any medical bills incurred during the 60-day decision period. This loophole can save you money by avoiding premium payments unless you actually need care during this time.

How long can a dependent stay on COBRA?

Once your child "ages out" the child may be eligible for coverage under his or her own employer's plan, for special enrollment in Marketplace coverage or may be eligible to purchase temporary extended health coverage for up to 36 months under the Consolidated Omnibus Budget Reconciliation Act (COBRA).

How COBRA Act works | Benefit Administration

42 related questions found

How to stay on COBRA for 36 months?

Second Qualifying Event - If you are receiving an 18-month maximum period of continuation coverage, you may become entitled to an 18-month extension (giving a total maximum period of 36 months of continuation coverage) if you experience a second qualifying event that is the death of a covered employee, the divorce or ...

What happens if I turn 26 while on COBRA?

Turning 26 initiates a special enrollment period, requiring you to find new coverage. Options include COBRA continuation, short-term insurance, marketplace plans, or employer-sponsored plans.

What disqualifies you from COBRA?

Why would an employee not qualify to enroll in Cal-COBRA? The employee is enrolled in or eligible for Medicare. The employee does not enroll within 60 days of receiving the notice of eligibility from the employer. The employee is covered by another health plan.

What is the 105 day COBRA loophole?

So, if you maxed out the 60 day election period plus the 45 day payment period, you could actually go 105 days without paying for the coverage.

Can you cancel a COBRA at any time?

Yes, you can cancel COBRA coverage at any time. However, be aware that cancellation does not trigger a special enrollment period for new health insurance.

When can I drop my child from my health insurance?

If you're covered by a parent's job-based plan, your coverage usually ends when you turn 26. But check with the employer or plan. Some states and plans have different rules. If you're on a parent's Marketplace plan, you can remain covered through December 31 of the year you turn 26 (or the age permitted in your state).

When should I stop claiming my child as a dependent?

To meet the qualifying child test, your child must be younger than you or your spouse if filing jointly and either younger than 19 years old or be a "student" younger than 24 years old as of the end of the calendar year.

Can I remove my adult child from my insurance?

A: An eligible child that is single or married can remain on your health plan until age 26. At age 26, they must enroll in a health plan through their job, their spouse's job or through an individual health plan.

Can I remove a family member from health insurance?

Legal Separation and Separate Coverage

Life does stop when you and your partner separate. But you do need to modify your health cover to separate your finances. You must inform your provider of the situation so your spouse can be removed from the health insurance policy.

Can I modify my COBRA coverage?

You May Change COBRA Plans Only During An Open Enrollment

Your COBRA coverage continues the same policy you had just before the COBRA qualifying event. Upon electing COBRA, you maintain this policy. However, you can change your health plan during your previous employer's open enrollment period.

Why is COBRA so expensive?

COBRA coverage is not cheap.

Why? Because you're now responsible for paying your portion of your health insurance: The cost your employer contributed to your premium, in addition to the 2% service fee on the cost of your insurance.

What is the loophole for COBRA coverage?

Understanding the 60-Day Loophole

It's not so much of a loophole, but two 60-day windows of time to remember. You have a 60-day window following the end of your employer-sponsored plan to select COBRA coverage or choose a new plan in the individual ACA marketplace.

What is the 14 day rule for COBRA?

14-Day Notice Period

The HR office must provide the COBRA Election Notice and Election Form to qualified beneficiaries within 14 days from the date of the qualifying event or loss of coverage, or when the HR office is notified, whichever comes first.

What happens if I elect COBRA but don't pay?

There is no grace period if you're late paying your initial COBRA premium payment. 3 If it isn't paid on time (ie, within 45 days of electing COBRA), you lose your right to have COBRA coverage; you'll have to find other health insurance options or you'll be uninsured.

How do you keep a COBRA for 36 months?

You can stay on COBRA for 18 or 36 Months

COBRA coverage generally lasts 18 months for the employee. However, dependents on the plan, such as a spouse or children, can be eligible for up to 36 months of coverage under certain circumstances, like divorce or the death of the covered employee.

Can you be on COBRA and still be employed?

Yes, you can keep COBRA coverage even when your new employer offers health insurance. The decision to retain COBRA or opt for the new employer's plan depends on your personal circumstances, such as comparing benefits and costs. There's no federal mandate to cancel COBRA upon obtaining new job-based insurance.

Can I go to the doctor while waiting for a COBRA?

You will be reimbursed for any medical bills that you pay out-of-pocket during this period. Contact the plan administrator for more information on filing a claim for benefits. Complete plan rules are available from the employer's benefits offices.

How does COBRA work for dependents?

Dependents. Dependents may enroll in COBRA for up to 36 months if: The dependent child marries or reaches age 26. The covered member dies (eligibility applies whether the member was working or retired at the time of death).

How long can a dependent stay on health insurance?

The Affordable Care Act requires plans and issuers that offer dependent child coverage to make the coverage available until a child reaches the age of 26. Both married and unmarried children qualify for this coverage. This rule applies to all plans in the individual market and to all employer plans.

What are the 7 COBRA qualifying events?

The seven COBRA qualifying events that allow individuals to maintain their employer-sponsored health insurance include termination of employment for reasons other than gross misconduct, reduction in the number of work hours, divorce or legal separation from the covered employee, the covered employee becoming entitled ...