Is it possible to extend COBRA past 18 months?

Asked by: Bennie Hayes DVM  |  Last update: March 12, 2025
Score: 4.6/5 (18 votes)

Consumers may also extend COBRA continuation coverage longer than the initial 18-month period with a second qualifying event—e.g., divorce or legal separation, death of the covered employee, Medicare entitlement of the covered employee (in certain circumstances), or loss of dependent child status —up to an additional ...

How do I extend my COBRA coverage beyond 18 months?

If you are entitled to an 18 month maximum period of continuation coverage, you may become eligible for an extension of the maximum time period in two circumstances. The first is when a qualified beneficiary is disabled; the second is when a second qualifying event occurs.

Can COBRA be extended beyond 18 months due to disability?

In certain circumstances, if a disabled individual and non-disabled family members are qualified beneficiaries, they are eligible for up to an 11-month extension of COBRA continuation coverage, for a total of 29 months.

What is the 18 month rule for COBRA?

When Federal COBRA ends, eligible employees can buy 18 months additional health coverage under Cal-COBRA. All qualified beneficiaries are generally eligible for continuation coverage for 36 months after the date the qualified beneficiary's benefits would otherwise have terminated.

How long can you get a COBRA after you quit your 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 Long Can You Keep Health Insurance Under Cobra

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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.

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.

Does COBRA automatically cancel after 18 months?

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. You can collect COBRA benefits for up to 18 months. This may be extended to 36 months under certain circumstances.

Is there a gap in coverage with COBRA?

If you elect COBRA continuation coverage instead of Medicare, you may have to pay a late enrollment penalty and may have a gap in coverage if you later decide you want Part B. If you enroll in Medicare Part A or B before your COBRA coverage ends, your plan may terminate your COBRA coverage.

What is the timeline for COBRA for employers?

COBRA Notice Timeline: A Brief Recap

You must notify all qualified impacted employees about their COBRA and election rights. You have 30 days to alert your healthcare plan administrator. The plan administrator then has 14 days to reach out to the impacted employees with election notices.

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 grace period for COBRA payments?

After you are established on your COBRA coverage, ongoing monthly payments are due the first day of each month. There is a grace period of 30 days from the due date for ongoing monthly premium payments. If you mail your payment, it must be postmarked within the 30-day grace period.

Can COBRA be extended beyond 18 months in Texas?

The initial 18-month period of COBRA coverage may be extended up to 36 months for your dependents in the event of death, divorce or the loss of status as a dependent child during their initial COBRA eligibility period. For these situations, COBRA coverage cannot be continued beyond 36 months.

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.

How much does COBRA cost per month?

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

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 I extend my Cobra insurance?

California Insurance Code (CIC) Section 10128.59 provides extension under Cal-COBRA for those who have exhausted their 18 months on federal COBRA (or longer in special circumstances) for a total extension that cannot exceed 36 months.

What happens when your COBRA runs out?

What do I do when my COBRA runs out? Since the Affordable Care Act, running out of COBRA continuation coverage is now a “qualifying life event,” which means that you now have a “special enrollment period” in which you may enroll in an insurance plan outside of open enrollment.

What is the maximum coverage period for COBRA?

While COBRA is temporary, in most circumstances, you can stay on COBRA for 18 to 36 months. This coverage period provides flexibility to find other health insurance options.

Is COBRA still 18 months?

In most cases, COBRA coverage for the covered employee lasts a maximum of 18 months. However, the following exceptions apply: 29-Month Period (Disability Extension): Special rules apply for certain disabled individuals and family members.

How long can you stay on COBRA if you quit?

18 Months. Regardless if you quit, got fired, were laid off or retired you have the right to continue the employer's group health insurance for up to 18 months.

Will COBRA cover me retroactively?

Once you have selected which plans you will continue under COBRA and you have paid for the first month of coverage, the reinstatement of your coverage with various insurance companies will begin. Coverage under COBRA will be retroactive from your last day of coverage as an active benefits participant.

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 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.

What happens if you never pay COBRA?

If you fail to make any payment before the end of the initial 45-day period, the plan can terminate your COBRA rights.