Does an employer have to offer COBRA if you are fired?

Asked by: Marcos Collier  |  Last update: February 23, 2025
Score: 4.8/5 (75 votes)

However, even with 20 or more employees, you don't have to offer COBRA to employees who either weren't eligible yet for group coverage before they were terminated or those who opted not to participate in your plan.

Is COBRA offered if you are fired?

Cal-COBRA is a California Law that lets you keep your group health plan when your job ends or your hours are cut. It may also be available to people who have exhausted their Federal COBRA.

Can I sue my employer for not offering COBRA?

The employees along with the beneficiaries have the right to sue to cover the medical expenses that would have taken place when the COBRA should have been offered.

Can an employer not offer COBRA?

COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) is a federal law that requires employers of 20 or more employees who offer health care benefits to offer the option of continuing this coverage to individuals who would otherwise lose their benefits due to termination of employment, reduction in hours or ...

Do you have to offer a COBRA for gross misconduct?

When a covered employee is terminated for gross misconduct, COBRA does not have to be offered to either the employee or their dependents.

What Happens to COBRA Benefits after Being Fired? Employer Obligations & Violations Explained

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What is the penalty for not offering COBRA?

Penalties for Non-Compliance

Failing to adhere to COBRA rules can result in costly penalties. The Department of Labor may impose fines of $110 per day per qualified beneficiary for non-compliance with notice requirements, and the IRS can levy excise taxes for violations.

What is the difference between gross misconduct and misconduct?

Gross Misconduct involves more serious behaviour that can justify immediate dismissal without notice or pay in lieu of notice. It refers to actions that significantly undermine the trust and integrity of the employment relationship, making continued employment untenable.

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.

What are the rules for COBRA coverage?

COBRA eligibility has three basic requirements that must be met for you to get a continuation of coverage:
  • Your group health plan must be covered by COBRA.
  • A qualifying event must occur.
  • You must be a qualified beneficiary for that event.

Is no call no show gross misconduct?

Whether a no call no show is considered gross misconduct can depend on the circumstances and the employer's policies. Generally, a single instance may not necessarily constitute gross misconduct unless it causes significant harm to the business or violates specific contractual obligations.

Do employers ever pay for COBRA?

Yes, an employer can pay all or part of a former or current employee's COBRA premiums.

Can I sue my employer for not providing health insurance?

It has an obligation to honor that commitment, even though the law does not require it to provide health insurance. Otherwise, an employee can sue the employer to enforce the contract.

What is an involuntary termination for COBRA?

An involuntary termination is “a severance from employment due to the independent exercise of the unilateral authority of the employer to terminate the employment, other than due to the employee's implicit or explicit request, where the employee was willing and able to continue performing services.” While wordy, the ...

How expensive is COBRA?

The average monthly cost of COBRA Insurance premiums ranges from $400 to $700 per individual.

How long is COBRA after quitting job?

COBRA coverage lets you pay to stay on your job-based health insurance for a limited time after your job ends (usually 18 months). You usually pay the full premium yourself, plus a small administrative fee.

What is considered gross misconduct?

Gross misconduct occurs when an employee engages in seriously inappropriate behavior at work, potentially warranting immediate termination. This behavior, which substantially breaches the company's standards of conduct, may include theft, fraud, violence, harassment, or severe insubordination.

Can my employer deny me COBRA?

Under COBRA, a person who has been terminated for gross misconduct may be denied COBRA. Gross misconduct is not specifically defined by COBRA, but when based on an employer's practice or policy it could include misrepresentation during the hiring process or falsifying information on a Form I-9.

What are COBRA rights after termination?

When the qualifying event is the covered employee's termination of employment or reduction in hours of employment, qualified beneficiaries are entitled to 18 months of continuation coverage.

Did not receive COBRA paperwork.?

What If I Did Not Receive a COBRA Election Letter? We recommend working with the employer's human resources department. Call and ask them to resend the health insurance continuation election form. They may refer you to their third-party administrator.

Does health insurance end immediately after termination?

Employers aren't required to continue providing health insurance coverage after termination, so most workers lose coverage immediately or at the end of their last month of employment. However, most companies must allow you to stay on your plan through COBRA continuation coverage.

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.

What is a COBRA violation?

Employers have numerous responsibilities under COBRA, including tracking employee notices and deadlines. All too often, employers fail to comply with these requirements. Some common COBRA violations include: Failure to supply initial notice to new employees. Failure to provide notice after a qualifying event.

What are examples of being fired for misconduct?

Illegal drug or alcohol use at work. Theft. Vandalization of company property. Sexual harassment/assault.

What is considered gross misconduct for a cobra?

Fighting, physical assault, abuse, or threatening behavior • Blatant disregard for the safety of others or serious breaches of health and safety rules • Deliberate acts of vandalism or sabotage • Any attempts to financially defraud the company or theft • Significant levels of insubordination • Dishonesty, falsification ...

What happens if I am dismissed for gross misconduct?

Dismissal without notice for gross misconduct

An employer can dismiss an employee without giving notice if it's because of gross misconduct. This is when an employee has done something that's very serious or has very serious effects. The employer must have followed a fair procedure.