What happens if you elect COBRA but don't pay?

Asked by: Prof. Hannah Jacobson  |  Last update: September 9, 2023
Score: 4.2/5 (57 votes)

You can be required, however, to make an initial premium payment within 45 days after the date of your COBRA election (that is the date you mail in your election form, if you use first-class mail). Failure to make any payment within that period of time could cause you to lose all COBRA rights.

Does COBRA take effect 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.

How do I avoid paying COBRA?

If you want to avoid paying the COBRA cost, go with a short-term plan if you're waiting for approval on another health plan. Choose a Marketplace or independent plan for broader coverage. Choose a high-deductible plan to keep your costs low.

What is the COBRA loophole?

Cal-COBRA is a California Law that lets you keep your group health plan when your job ends or your hours are cut. It may also be available to people who have exhausted their Federal COBRA.

What is the grace period for COBRA monthly payments?

What is the grace period for monthly COBRA premiums? After election and initial payment, qualified beneficiaries have a 30-day grace period to make monthly payments (that is, 30 days from the due date).

Everything you Need to Know about COBRA Insurance

30 related questions found

Can I elect COBRA retroactively?

This period is measured from the later of the date of the qualifying event or the date the COBRA election notice is provided. COBRA coverage is retroactive if elected and paid for by the qualified beneficiary.

How many months is COBRA retroactive?

COBRA is always retroactive to the day after your employer coverage ends. So, you'll need to pay your premiums for that period too.

Is there an equivalent to COBRA in Canada?

Consolidated Omnibus Budget Reconciliation Act (COBRA) health benefit provisions apply in the U.S. There is no equivalent legislation in Canada.

Can you decline COBRA?

You are responsible for making sure your COBRA coverage goes into and stays in effect - if you do not ask for COBRA coverage before the deadline, you may lose your right to COBRA coverage. You must decide to accept or reject COBRA coverage during a certain time period (usually 60 days after your employer notifies you).

What does COBRA do to you?

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Is there a better option than COBRA?

If COBRA doesn't work for you, the Health Insurance Marketplace is a great health coverage option for both individuals and families. Many states run their own health exchanges where you can shop, compare and enroll in a plan that works best for you and your budget.

What happens if I don't want Cobra insurance?

If you don t want to enroll in COBRA continuation coverage, simply do not return the form. You don t need to notify us. If you do waive COBRA continuation coverage, there are special rules if you should change your mind before the end of your election period . Contact us for information.

Are there alternatives to Cobra insurance?

Instead of enrolling in COBRA continuation coverage, there may be other more affordable coverage options for you and your family through the Health Insurance Marketplace, Medicaid, or other group health plan coverage (such as a spouse's plan) through what is called a “special enrollment period.” Some of these options ...

How long after termination can you get COBRA?

Q8: How long do I have to elect COBRA coverage? If you are entitled to elect COBRA coverage, you must be given an election period of at least 60 days (starting on the later of the date you are furnished the election notice or the date you would lose coverage) to choose whether or not to elect continuation coverage.

How long do you have to respond to COBRA?

60 Days. If you are eligible to choose COBRA coverage, you have a period of at least 60 days, from the date you receive the election notice or the date you will lose coverage to choose whether to continue coverage or not.

How long does it take for COBRA to show up?

When Does Coverage Begin? Your COBRA insurance will start immediately after making your first premium payment. Once you elect to continue the employer group health plan, your benefits will be retroactive to the date your coverage would otherwise have stopped.

How do I make a COBRA payment?

COBRA payments can be made online or by remitting check via mail. Auto ACH payments can also be set up with either the participant's bank or PrimePay directly.

Do you have to manually cancel COBRA?

How do I cancel my COBRA coverage? Cancelling COBRA coverage requires notification in writing (users can also opt to email PrimePay at cobrahelp@primepay.com). If canceling because eligible to enroll in Medicare, users may still opt to keep dental and vision COBRA if needed.

Is COBRA ever worth it?

You can keep using the same claims filing methods, doctors, and pharmacists that you're used to. COBRA can save you money on out-of-pocket costs. Employer-sponsored health plans may provide broader networks than non-group health plans if you travel out of state or have more than one home.

Why COBRA is so expensive?

Why is COBRA so expensive? Employers don't typically contribute to help a former employee with COBRA costs. The individual has to pay both the employee and employer's portion of premiums, which makes COBRA coverage expensive.

Is COBRA really expensive?

You should expect COBRA insurance costs to be substantially higher than what you paid as an employee because your employer is no longer required to pay a share. In 2022, employees paid an average of $111 per month for an individual plan and $509 per month for a family plan, according to KFF.

Can I use COBRA for 2 months?

However, if you only need COBRA coverage for a short period of time, such as one or two months, you can pay only for those months from the coverage loss date.

Can COBRA go beyond 18 months?

Consumers may also extend COBRA continuation coverage longer than the initial 18-month period with a second qualifying event —e.g., divorce or death— up to an additional 18 months, for a total of 36 months.

Can you get COBRA twice in one year?

You May Only Use COBRA One Time For Each Qualifying Event That Stops Your Health Insurance. COBRA continuation lasts for up to 18 months (in some situations a dependent can continue for up to 36 months) and is available each time your employer-sponsored health insurance would end due to a qualifying event.

How long does health insurance last after quitting?

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 quit. You may be able to continue receiving coverage through your employer health plan with COBRA for 18 months or longer, but this option is often costly.