How do I qualify for COBRA?

Asked by: Dr. Verda Reinger  |  Last update: February 11, 2022
Score: 4.4/5 (14 votes)

To be eligible for COBRA coverage, you must have been enrolled in your employer's health plan when you worked and the health plan must continue to be in effect for active employees.

What are the 7 COBRA qualifying event?

The following are qualifying events: the death of the covered employee; a covered employee's termination of employment or reduction of the hours of employment; the covered employee becoming entitled to Medicare; divorce or legal separation from the covered employee; or a dependent child ceasing to be a dependent under ...

Are you eligible for COBRA If you quit your job?

Yes, You Can Get COBRA Insurance After Quitting Your Job

According to the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), companies with 20 or more employees are required to allow workers to keep their health insurance coverage, if that coverage would end due to a qualifying event.

Is everyone entitled to COBRA?

With COBRA continuation coverage, you don't have to pick a new plan. ... However, not everyone is allowed to use the COBRA law to continue their health insurance. Understanding whether or not you're eligible for COBRA health insurance will help you plan for a secure future.

Who isn't eligible for COBRA?

Employers With 19 Or Fewer Employees Are Not Eligible For Federal COBRA. The Federal COBRA Act exempts small businesses with 19 or fewer employees. In response, many states have passed Mini-COBRA laws. These laws are designed to cover all workers in their state.

Everything you need to know about COBRA

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What happens if my employer doesn't offer me COBRA?

Failure to provide the COBRA election notice within this time period can subject employers to a penalty of up to $110 per day, at the discretion of the court, as well as the cost of medical expenses incurred by the qualified beneficiary.

How do I apply for free COBRA benefits?

You may be eligible to apply for individual coverage through Covered California, the State's Health Benefit Exchange. You can reach Covered California at (800) 300-1506 or online at www.coveredca.com. You can apply for individual coverage directly through some health plans off the exchange.

How do I get Cobra insurance between jobs?

How to get COBRA health insurance after leaving your job
  1. Leave a company with 20 or more employees, or have your hours reduced. ...
  2. Wait for a letter in the mail. ...
  3. Elect health coverage within 60 days. ...
  4. Make a payment within 45 days.

Does COBRA coverage begin immediately?

How long does it take for COBRA to kick in? With all paperwork properly submitted, your COBRA coverage should begin on the first day of your qualifying event (for example, the first day you are no longer with your employer), ensuring no gaps in your coverage.

Is it better to use COBRA or Obamacare?

So which one is better? Typically ACA insurance is more affordable than COBRA insurance because you can be eligible for federal ACA subsidies, depending on your income. COBRA costs an average of $599 per month.

What can I do if I can't afford health insurance?

8 Ways to Get Healthcare if You Can't Afford Health Insurance
  1. Apply for Cost Assistance to Afford Health Insurance. ...
  2. Look at Medicaid Options. ...
  3. Get Short Term Health Insurance. ...
  4. Choose a High Deductible Plan. ...
  5. Consider Catastrophic Coverage as a Health Insurance. ...
  6. Go to a Clinic if You Can't Afford Health Insurance.

Can I keep COBRA and new insurance?

You may not have COBRA continuation and another insurance at the same time. ... You may stay on COBRA as long as you do not obtain other insurance or become covered under your new employer's health insurance. The federal government's COBRA law allows workers to continue on the same plan they had when they working.

What qualifies as a qualifying event?

Qualifying Life Event (QLE)
  • Loss of health coverage. Losing existing health coverage, including job-based, individual, and student plans. ...
  • Changes in household. Getting married or divorced. ...
  • Changes in residence. Moving to a different ZIP code or county. ...
  • Other qualifying events.

Why would I get a COBRA letter?

Why did I receive A COBRA Letter? A: ... The purpose of this letter is to inform you of your rights and responsibilities as a plan participant. Qualifying Event: At the end of your employment or because of reduction of hours (not maintain full-time status) you will receive this letter.

How many employees do you have to have for COBRA?

COBRA generally applies to all private-sector group health plans maintained by employers that have at least 20 employees on more than 50 percent of its typical business days in the previous calendar year. Both full- and part-time employees are counted to determine whether a plan is subject to COBRA.

Are you automatically enrolled in COBRA?

COBRA is a federal law passed three decades ago to give families an insurance safety net between jobs. It's available if you're already enrolled in an employer-sponsored medical, dental or vision plan, and your company has 20 or more employees.

How long does COBRA take to process?

Benefit Strategies, LLC will notify the carrier and/or employer of COBRA election upon receipt of completed enrollment paperwork and full initial payment. Please Note: This process may take up to 5-10 business days after payment is received in this office.

Is it worth it to get Cobra insurance?

COBRA provides a good option for keeping your employer-sponsored health plan for a while after you leave your job, but the cost can be high. Make an informed choice by looking at all your options during the 60-day enrollment period, and don't focus on the premium alone.

What happens to my insurance when I quit my job?

Most employees lose their employer-sponsored health coverage either on their last day of work or at the end of the month during which they stop working. After leaving a job, you will likely have access to COBRA—temporary coverage lets you continue your health plan, although you'll pay the full cost of premiums.

How long do I have insurance after I quit?

You can keep your job-based insurance policy through the federal Consolidated Omnibus Budget Reconciliation Act, or COBRA. COBRA allows you to continue coverage — typically for up to 18 months — after you leave your employer.

How much does COBRA cost a month?

On Average, The Monthly COBRA Premium Cost Is $400 – 700 Per Person. Continuing on an employer's major medical health plan with COBRA is expensive. You are now responsible for the entire insurance premium, whereas your previous employer subsidized a portion of that as a work benefit.

How do I get a 2021 COBRA subsidy?

How Does the COBRA Subsidy Work?
  1. An Employee Becomes Eligible for COBRA: Typically as a result of termination or a reduction in hours.
  2. The Employer Notifies All Qualifying Employees About the COBRA Subsidy: This was to be done beginning April 1, 2021, within 60 days of the employee's qualifying event.

How do I get reimbursed for COBRA payments?

The premium will be reimbursed directly to the employer, plan administrator, or insurance company through a COBRA premium assistance credit. 1. Plans and issuers were required to notify eligible employees who had a qualifying event before April 1, 2021 about their right to COBRA premium assistance by May 31.

Can COBRA be denied?

If the terminated employee was never an eligible plan participant, the employer can cancel coverage retroactive to the original coverage date. ... Under COBRA, a person who has been terminated for gross misconduct may be denied COBRA.

Are companies legally required to offer COBRA?

Q3: Which employers are required to offer COBRA coverage? COBRA generally applies to all private-sector group health plans maintained by employers that had at least 20 employees on more than 50 percent of its typical business days in the previous calendar year.