What is the COBRA subsidy?

Asked by: Rosendo Grant  |  Last update: January 9, 2024
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The COBRA subsidy employer tax credit is intended to offset the employer's Medicare tax liability. It is a fully refundable tax credit, meaning that employers can receive a refund from the IRS if the available credit exceeds their Medicare tax liability for the quarter.

How does the COBRA subsidy work?

For assistance-eligible individuals (AEIs), ARPA offered 100% subsidies of COBRA premiums for coverage periods from April 1, 2021 through Sept. 30, 2021. Employers typically provided the COBRA premium assistance and sought reimbursement by claiming a tax credit on their quarterly employment taxes.

What does subsidized COBRA mean?

COBRA Subsidy means an amount equal to the Participant's monthly post-employment premium for health and welfare benefits under the Consolidated Omnibus Budget Reconciliation Act of 1985 (“COBRA”) less the amount paid from time to time by active employees for similar coverage.

What is the COBRA premium subsidy credit?

The subsidy applies to assistance eligible individuals (AEIs) who elect COBRA health care continuation coverage following a reduction in hours or an involuntary termination of employment.

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.

Everything you Need to Know about COBRA Insurance

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How do I claim my COBRA premium assistance credit?

How Is the Tax Credit Claimed? The tax credit is generally claimed by reporting the COBRA premium assistance provided to qualifying individuals on the quarterly employment tax return (IRS Form 941).

When did the COBRA subsidy end?

COBRA Subsidy Under the American Rescue Plan of 2021 ends September 30, 2021. The American Rescue Plan Act of 2021, the most recent stimulus and COVID-19 relief package, requires employers to extend offers of free COBRA coverage to certain qualified employees from April 1 through September 30, 2021.

When did federal COBRA subsidy end?

As we mentioned in our May 23, 2021, article, the American Rescue Plan Act of 2021 (ARPA) provides a 100 percent premium subsidy for continuation coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) between April 1 and September 30, 2021, for certain assistance eligible individuals (AEIs).

Did COBRA subsidy expire?

In August 2021, notices were sent to qualifying individuals informing them that the premium assistance credit would end as of September 30, 2021.

Are COBRA benefits worth it?

Pros and Cons of COBRA

COBRA can help bridge the health insurance gap until you qualify for another health plan. You have up to 60 days to accept if you don't sign up for COBRA right away. Coverage is retroactive. You can keep using the same claims filing methods, doctors, and pharmacists that you're used to.

Is a COBRA subsidy taxable?

If the employee receives the funds and can provide supporting documentation of the payment to the insurer, the funds are also nontaxable. If there is no verification that the employee used the funds to pay for the premiums, the amounts are included in wages and are taxable.

Is COBRA subsidy taxable income?

Taxable Options: COBRA subsidies are taxable if the employer provides funds directly to individuals without requiring substantiation. This is because an employee may or may not use the funds to pay for COBRA premiums, and therefore, the funds are treated as wages subject to applicable taxes.

Who pays COBRA subsidy?

Employers are responsible for paying premiums, but receive a tax credit. Employers sponsoring a group health plan will be responsible for paying health insurance carriers for the premiums. They will be reimbursed for 100% of the COBRA premiums through tax credits against certain payroll taxes.

When did the COBRA subsidy start?

The subsidy is equal to 100% of the cost of COBRA coverage (including the 2% administration fee) for qualified beneficiaries who will lose or have already lost employer-provided coverage due to involuntary separation from employment or reduced work hours. The subsidy is only available from April through September 2021.

How does COBRA work when you quit?

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. Contact your employer to learn about your COBRA options.

Does COBRA cost more than regular insurance?

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.

Will Biden pay for COBRA?

The federal government will pay 100 percent of COBRA insurance premiums for eligible employees who lost their jobs and for their covered relatives through September, allowing them to stay on their company-sponsored health plan, under the American Rescue Plan Act (ARPA) that President Joe Biden signed into law on March ...

Are you automatically covered by COBRA?

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.

Is the COBRA subsidy extended?

Q. What would the COBRA Subsidy Extension for Workers and Families Act do? A. This measure would extend monthly subsidies provided through the American Rescue Plan through September 30, 2022.

What is the payment period for COBRA premium?

Summary. You have 60 days to elect COBRA, another 45 days to make your first premium payment, and then 30-day grace periods for each monthly premium payment after that.

What is the maximum length that COBRA benefits may be extended?

COBRA and Cal-COBRA

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 COBRA subsidy reported on w2?

When you're ready to report, the value of employer-sponsored health coverage is to be reported in Box 12 of the W-2, using the code “DD.” What are the COBRA guidelines? You are not required to report the value of coverage provided for a COBRA participant.

Can I get money back from COBRA?

If you have overpaid for COBRA for any reason, premium over payments are generally applied to future premium obligations and returned to you once your CO- BRA coverage period is exhaust- ed or you request to have your COBRA account terminated early.

Who is eligible for ARPA COBRA subsidy?

Q: Who is eligible for the ARP COBRA subsidy? A: Only Assistance Eligible Individuals (AEIs) may receive the subsidy. The ARP defines an AEI as a COBRA qualified beneficiary (QB) who: Lost plan coverage due to a reduction in hours or an involuntary termination of employment; and.