Does COBRA start immediately after termination?

Asked by: Jody McKenzie  |  Last update: January 2, 2026
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You have 60 days to enroll in COBRA once your employer-sponsored benefits end. Even if your enrollment is delayed, you will be covered by COBRA starting the day your prior coverage ended.

How does COBRA work after termination?

COBRA and Cal-COBRA

COBRA stands for the Consolidated Omnibus Budget Reconciliation Act. COBRA allows former employees, retirees, and their dependents to temporarily keep their health coverage. If you get COBRA, you must pay for the entire premium, including any portion that your employer may have paid in the past.

How long does COBRA take to activate?

When does COBRA continuation coverage start. COBRA is always effective the day after your active coverage ends. For most, active coverage terminates at the end of a month and COBRA is effective on the first day of the next month.

Does COBRA go into effect immediately?

For example, if employment ends on April 25, COBRA will pick up where the group health plan ends. If it ends immediately, COBRA eligibility begins on April 26. If the benefits stop at the end of the month, as with many employers, COBRA coverage begins May 1.

What is the grace period to elect a COBRA?

The grace period is the time between the day that the qualified beneficiary elects COBRA continuation coverage and the day that the premium payment is made. Under the COBRA regulations, health plans are prohibited from requiring payment of any premium prior to 45 days after the date of the COBRA election.

Early Termination of COBRA: When, Why, and How?

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What is the timeline for COBRA payments?

You have 45 days from the date of your COBRA election (either the date you elect online, the date you fax or email the Election Form, or the postmark date on the mailed envelope) to pay all premiums due from your COBRA start date through the current month.

Can you activate COBRA retroactively?

COBRA coverage is retroactive if elected and paid for by the qualified beneficiary.

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.

When can COBRA be denied?

If the former employee is considered an eligible plan participant, then he or she would be a qualified beneficiary and entitled to COBRA coverage unless the second exception (denial based on gross misconduct) is applied. Under COBRA, a person who has been terminated for gross misconduct may be denied COBRA.

How does the Cobra effect happen?

One example of a modern-day cobra effect is seen in California, where they have a program that gives tax credits to people who buy electric vehicles (EVs). While EVs are good for the environment, they are not so good for the economy.

How much does COBRA typically cost per month?

COBRA coverage is not cheap.

A COBRA premium can cost on average $400 to $700 a month per person.

How long does it take for COBRA to come in the mail?

The COBRA insurance form should be sent to you by the employer's human resources department, or the company may have hired a third-party administrator to manage the COBRA benefits enrollment. Your employer or the administrator has 45 days to send you the paperwork.

Does COBRA reset your deductible?

It is not a separate policy—it's a continuation of access as if you remained actively eligible. Because your coverage is “continued,” your deductible won't reset until the new plan year, etc. The difference is your cost for coverage because the employer no longer contributes toward meeting your premium obligation.

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 are the requirements for COBRA termination notice?

The notice must be given as soon as practicable after the decision is made, and it must include the date coverage will terminate, the reason for termination, and any rights the beneficiary may have under the plan or applicable law to elect alternative group or individual coverage.

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.

Can you get COBRA immediately?

You have 60 days to enroll in COBRA once your employer-sponsored benefits end. Even if your enrollment is delayed, you will be covered by COBRA starting the day your prior coverage ended. You will receive a notice from your employer with information about deadlines for enrollment.

What is the timeline for COBRA?

60 days: The COBRA-eligible participant(s) have 60 days to enroll in coverage. If the COBRA-eligible participant does not elect coverage within 60 days after the notification, they are no longer eligible to elect.

How to get COBRA after being fired?

You should get a notice in the mail about your COBRA and Cal-COBRA rights. You have 60 days after being notified to sign up. If you are eligible for Federal COBRA and did not get a notice, contact your employer. If you are eligible for Cal-COBRA and did not get a notice, contact your health plan.

Is COBRA retroactive to date of termination?

Once COBRA is elected, the enrollee has 45 calendar days from the date of election to pay all retroactive premiums to the plan or its designee. The retroactive premium payment is the premium to cover the period from the date of loss of coverage to the date of election.

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.

How does COBRA work after leaving a 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. Contact your employer to learn about your COBRA options.

Why is COBRA so expensive?

Why is COBRA more expensive than employer-sponsored insurance? COBRA is more expensive because the individual is responsible for the entire premium amount without the employer's financial contribution that is provided during active employment.

What is the COBRA grace period?

If your COBRA payment is not made in a timely manner, or within the 30-day grace period then you are risking termination of your COBRA rights and coverage. If you do make the payments within the time allowed you will not lose coverage, but will still need to pay the later months' coverage.

Can you reinstate COBRA after cancelling?

Once COBRA coverage is canceled, there is no option for reinstatement.