Is losing COBRA subsidy a qualifying event?

Asked by: Mrs. Josephine Schumm  |  Last update: March 19, 2025
Score: 4.6/5 (27 votes)

If you're losing COBRA continuation coverage because the coverage ran out or your former employer ends their contributions, causing you to pay the full cost of insurance, you qualify for a special enrollment period.

Which of the following is considered a qualifying event under COBRA?

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 ...

What happens when COBRA subsidy ends?

You can continue on COBRA unsubsidized until your 18 months of COBRA eligibility ends. In addition, you will have the option to enroll in marketplace coverage when the subsidy ends in September. Loss of the COBRA subsidy will make you eligible for a special enrollment period (SEP) to sign up for marketplace coverage.

What are examples of a qualifying event?

Qualifying life event (QLE)
  • Getting married or divorced.
  • Having a baby or adopting a child.
  • Death in the family.

What is a subsidy in COBRA?

The federal government initiated several programs to address the challenges posed by the coronavirus outbreak. One of these programs was the Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidy, which excluded qualified individuals from paying premiums for a specified duration.

COBRA Qualifying Events

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How do I claim my COBRA subsidy credit?

Request a Refund for Amounts Paid in COBRA Premiums Exceeding Federal Employment Tax Liability: The employer may claim the Credit through an employment tax refund on the applicable employment tax return, generally Form 941, Employer's Quarterly Federal Tax Return.

What does subsidy mean in health insurance?

State. Subsidy description. California. Individuals with household incomes up to 250% of the federal poverty level (FPL) are eligible for CSRs that eliminate deductibles and reduce other out-of-pocket costs. For 2025, all Covered California enrollees will qualify for at least the Enhanced Silver 73 health plan5.

Is losing cobra a qualifying event?

You also don't qualify if you lose your COBRA coverage because you didn't pay your premiums. Remember, you don't need a special enrollment period if you voluntarily end COBRA during open enrollment. You can drop your COBRA policy and enroll in an exchange policy at that time.

What is not a qualifying life event?

Is Changing Jobs a Qualifying Life Event? No, changing jobs within an organization is not a qualifying life event. Your employer-based coverage will remain the same until you have the opportunity to make changes during the open enrollment period.

How to prove a qualifying event?

Documents that may be required to verify a Qualifying Life Event (QLE) differ depending on the specific life change.
  1. Marriage license for marriage.
  2. Divorce papers for divorce.
  3. Birth certificate for the birth of a child.
  4. Adoption papers for adoption.
  5. Death certificate for a change in household due to death.

Can an employer subsidize a COBRA?

Employers can choose how COBRA subsidies are paid. In some circumstances, employees can pay for their COBRA premiums from their severance payments on a pre-tax basis.

What is a second qualifying event for COBRA?

Second Qualifying Event - If you are receiving an 18-month maximum period of continuation coverage, you may become entitled to an 18-month extension (giving a total maximum period of 36 months of continuation coverage) if you experience a second qualifying event that is the death of a covered employee, the divorce or ...

What is the 60 day loophole for cobras?

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.

Is spouse losing job a qualifying life event?

Yes. If a spouse quits or is fired from their job, this is considered a qualifying life event and both spouses are eligible for a special enrollment period.

Is a resignation a COBRA event?

In the context of COBRA, the term 'Termination' is often used broadly to refer to the end of employment, regardless of whether it was voluntary (resignation) or involuntary (dismissal).

Which of the following would be a qualifying event as it relates to COBRA quizlet?

Which of the following is considered a qualifying event under cobra? Divorce. Other qualifying events include the voluntary termination of employment; an employee's change from full time to part time; or the death of the employee.

Is death a cobra qualifying event?

The death of an employee covered by an employer's group health insurance is a qualifying event under COBRA. Consequently, the surviving spouse and dependents of a deceased employee may be eligible for COBRA continuing coverage for up to 36 months.

What is a qualifying event as defined by the IRS?

These events are defined by the IRS and include: Change in your legal marital status (i.e., marriage, legal separation, divorce, or death of your spouse) Change in employment status (for you, your spouse, or dependent) that affects eligibility for health insurance benefits. Change in your number of tax dependents.

Do I lose my parents' insurance the day I turn 26 blue cross blue shield?

Plans and issuers that offer dependent coverage must offer coverage to enrollees' adult children until age 26, even if the young adult no longer lives with his or her parents, is not a dependent on a parent's tax return, or is no longer a student.

Is COBRA coverage available after job loss?

You may be able to keep your job-based health plan through COBRA continuation coverage. 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.

Is FMLA a COBRA qualifying event?

Group health coverage that is provided under the FMLA during a family or medical leave is not COBRA continuation coverage, and taking FMLA leave is not a qualifying event under COBRA.

Does quitting your job count as a qualifying event?

Is losing or getting a new job a qualifying life event? Yes, if you lose your employer-sponsored health care, you're eligible for a Special Enrollment Period. There's no distinction between leaving your place of employment willingly, like in the case of resignation, or unwillingly, like with a layoff or firing.

What does Cobra subsidy mean?

The COBRA subsidy is available for individuals who are or become qualified beneficiaries as a result of involuntary termination of employment or a reduction in hours. This may include individuals who: become eligible for COBRA during the subsidy period.

What qualifies as a subsidy?

Key Takeaways. A subsidy is a direct or indirect payment to individuals or firms, usually in the form of a cash payment from the government or a targeted tax cut. In economic theory, subsidies can be used to offset market failures and externalities to achieve greater economic efficiency.

Do I qualify for ACA subsidy?

Who is eligible for an ACA subsidy? Subsidy eligibility is based on income (ACA-specific MAGI). To qualify for a subsidy, a household must have an income of at least 100% of the federal poverty level (or above 138% of the federal poverty level in states that have expanded Medicaid).