What is the difference between a COBRA and a mini-COBRA?

Asked by: Baron Bednar III  |  Last update: March 7, 2025
Score: 4.6/5 (62 votes)

Mini-COBRA applies to small group health benefit plans issued to employers with 2-19 employees. COBRA applies to self-funded plans and group health plans offered by employers with 20 or more employees. Mini-COBRA does not apply to self-funded plans.

What is mini COBRA vs COBRA?

Cal-COBRA, also known as California's Mini-COBRA, is a state program that extends health coverage continuation rights to employees of smaller companies with 2 to 19 employees.

Who is eligible for PA mini COBRA?

Pennsylvania's Mini-COBRA applies to employees at businesses with 2-19 employees. Length of Coverage - COBRA allows for the purchase of continuation health coverage for 18 months (or, in some cases, 36 months) after employment ends. Pennsylvania's Mini-COBRA is for nine months.

What is the COBRA loophole for 60 days?

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.

How much does COBRA typically cost per month?

COBRA coverage is not cheap.

A COBRA premium can cost on average $400 to $700 a month per person.

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How to stay on COBRA for 36 months?

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 ...

Can my spouse get COBRA if I go on Medicare?

In that case, COBRA lasts for eighteen months. If the qualifying event is the death of the covered employee, divorce or legal separation of the covered employee from the covered employee's spouse, or the covered employee becoming entitled to Medicare, COBRA for the spouse or dependent child lasts for 36 months.

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.

Why is COBRA so expensive?

Why is COBRA more expensive than employer-sponsored insurance? COBRA is more expensive because the individual is responsible for the entire premium amount without the employer's financial contribution that is provided during active employment.

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.

Can you get Obamacare if you are eligible for COBRA?

From November 1-January 15: During Open Enrollment you can enroll in a Marketplace plan, regardless of why you're ending COBRA coverage.

Can I keep COBRA when I get a new job?

Yes, you can keep COBRA coverage even when your new employer offers health insurance. The decision to retain COBRA or opt for the new employer's plan depends on your personal circumstances, such as comparing benefits and costs. There's no federal mandate to cancel COBRA upon obtaining new job-based insurance.

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.

Is cobra even worth it?

“If you're close to meeting your deductible on your current insurance plan and you have high health care costs, it may be worth it to temporarily stay on your COBRA plan,” explains Donovan. The same holds true if you're far into your employer plan's year and have already met your deductible.

Which cobra is the smallest?

The smallest species is the Mozambique spitting cobra, which is about 4 feet long (1.2 m). One bite has enough venom to kill 15 to 20 people.

How do I know if I'm eligible for COBRA?

COBRA coverage follows a "qualifying event". An example of a qualifying event would be if your hours were reduced or you lost your job (as long as there was no gross misconduct). Your employer must mail you the COBRA information and forms within 14 days after receiving notification of the qualifying event.

How much does COBRA cost?

The cost of your COBRA coverage is equal to the total cost of the premium under your group health plan. That means it includes the premium you already were paying as an employee—plus what your employer was paying on your behalf. In addition, your plan may charge you a 2% administration fee.

Does health insurance end immediately after termination?

Employers aren't required to continue providing health insurance coverage after termination, so most workers lose coverage immediately or at the end of their last month of employment. However, most companies must allow you to stay on your plan through COBRA continuation coverage.

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.

Will secondary pay if primary denies?

It depends on which insurance is considered “primary” and which is “secondary.” The insurance that pays first (primary payer) pays up to the limits of its coverage. The insurance that pays second (secondary payer) only pays if there are costs the primary insurance didn't cover.

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%.

Is COBRA cheaper than marketplace?

Both COBRA and ACA Marketplace plans have their advantages. 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.

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.

What happens if I turn 65 while on COBRA?

In addition, a COBRA carrier may be able to bill you for any benefits paid by mistake when Medicare should have paid first. If you're already on COBRA when you become eligible for Medicare, you will lose your COBRA benefits and none of this applies to you.