How does mini COBRA work?

Asked by: Hassan Grady  |  Last update: May 6, 2025
Score: 4.9/5 (53 votes)

Mini-COBRA allows employees and their family members to continue coverage on their small group health benefit plan and pay group rates for certain time periods under circumstances where they previously would have lost coverage.

What is the difference between COBRA and Mini-COBRA?

Unlike federal COBRA, which covers only employers with 20 or more employees, mini-COBRA laws generally cover employers with fewer than 20 employees. In a few states, 2-19 employees is the threshold. Some states require nearly all employers, regardless of size, to comply with mini-COBRA.

What are the disadvantages of COBRA insurance?

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.

Does COBRA take effect 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.

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 Is COBRA for Health Insurance

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How long can you use COBRA 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.

How much does COBRA cost a month?

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

What is not covered under COBRA?

COBRA also does not cover plans that provide only life insurance or disability benefits, as those benefits are not considered “medical care.”

Is COBRA worth the money?

But ultimately, it depends on your situation. If you're not eligible for government subsidies and the costs of COBRA and ACA are similar, or if you've used up the deductible on your employer insurance before you leave your job, it might make sense for you to do a COBRA plan.

How many states have mini COBRA laws?

It is important to know the COBRA laws for your state. Following is a list of the 40 states with mini-COBRA laws. Each link goes to a Web page giving key information on the law in that state.

Can I cancel COBRA and get a refund?

Generally, there are no refunds when you cancel your plan early. You may contact your administrator or your past employer for specific insurance payment information.

Do I have to enroll in Medicare Part B if I have COBRA?

You need to enroll in Medicare Part B once you're eligible. You may be able to delay enrolling in Medicare Part D prescription drug coverage without penalty if you can keep COBRA coverage and it includes creditable prescription drug coverage.

Is there a better alternative to COBRA?

If you can't afford COBRA continuation coverage, the ACA (Affordable Care Act), also known as Obamacare, is the best and most affordable option. Employees who lost their jobs can enroll in an Obamacare plan via the Marketplace during the open enrollment period that runs from November 1st through December 15th.

Which COBRA is the best?

The best clubs we saw from COBRA were the Darkspeed X driver for higher swing speeds, the COBRA KING TEC hybrid and the Forged Tec X player's distance irons.

How do COBRA payments work?

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. This means your payment is often more expensive than what you paid as an employee.

Can you drop COBRA and get Obamacare?

Can I drop it during Marketplace Open Enrollment and enroll in a Marketplace plan instead? During Marketplace Open Enrollment, you can sign up for a Marketplace plan even if you already have COBRA. You will have to drop your COBRA coverage effective on the date your new Marketplace plan coverage begins.

How do I calculate COBRA costs?

Using the information provided in Box 12 of your most recent W-2 form, labeled Code DD, you will find the total annual cost of your employer-sponsored health coverage. To determine your monthly COBRA premium, divide this annual amount by 12 and include any applicable administrative fees, which may be up to 2%.

Which is cheaper, COBRA or Obamacare?

COBRA lets you keep your exact employer-based plan but is often more expensive. ACA plans may be more affordable, especially with subsidies, but require choosing a new plan. The best choice depends on your financial situation and healthcare needs.

What are the disadvantages of COBRA coverage?

COBRA cons
  • COBRA can be expensive, especially compared to the premiums you were paying before your qualifying event. ...
  • COBRA does not apply to all employer-sponsored health plans—in particular, those organizations with fewer than 20 employees may have no requirements. ...
  • Even if you get an extension, COBRA is only temporary.

Can I get COBRA if I quit?

Whether you quit, get fired or are laid off, you may be able to choose your former employer's health plan under a federal law called COBRA. That stands for Consolidated Omnibus Reconciliation Act. It's available if: You were enrolled in an employer-sponsored medical, dental or vision plan.

Who is not eligible for COBRA?

Indemnity policies, PPOs, HMOs, and self-insured plans are all eligible for COBRA extension; however, federal government employee plans and church plans are exempt from COBRA. Individual health insurance is also exempt from COBRA extension.

Is insurance good for 30 days after quitting a job?

If you have an employment-based insurance plan, coverage typically ends on your last day of work or the last day of the month in which you leave your job. You may be able to continue receiving coverage through your employer's health plan with COBRA for 18 months or longer, but this option is often costly.

Why is COBRA so expensive?

Loss of Employer Subsidy: When you were employed, your employer likely subsidized a significant portion of your health insurance premium. However, with COBRA, the employer is no longer required to contribute to the premium, leaving you responsible for the full cost of the insurance, plus added administrative fees.