When can COBRA be terminated?

Asked by: Brando Cole  |  Last update: December 8, 2023
Score: 4.4/5 (65 votes)

Answer: The continuation of benefits will terminate at the first to occur of the following: (1) 36 months after the date that benefits under the policy would otherwise have terminated, (2) the end of the period for which premium payments were made, if the employee or member fails to make timely payment of a required ...

When can COBRA coverage be terminated?

If a qualified beneficiary fails to make any payment before the end of the initial 45- day period, the plan can terminate the qualified beneficiary's COBRA rights.

Can COBRA be Cancelled at any time?

A person who elects COBRA can choose to cancel the coverage at any time (unlike active employee coverage, which can only be dropped during the employer's open enrollment period or during a special enrollment period linked to a qualifying life event).

Can an employer terminate COBRA?

Federal law states that COBRA coverage can be terminated if premium payments are late. According to the law, payment of any premium is considered to be timely if it is made within 30 days after the due date or within a longer period set out under the plan.

How do you terminate a COBRA?

To cancel your COBRA plan you will need to notify your previous employer or the plan administrator in writing, requesting to terminate the insurance.

Everything you Need to Know about COBRA Insurance

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Is COBRA terminated due to non payment?

COBRA allows a 30-day grace period. If your premium payment is not received within the 30-day grace period, your coverage will automatically be terminated without advance warning. You will receive a termination letter at that time to notify you of a lapse in your coverage due to non-payment of premiums.

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.

Why would COBRA be terminated?

Termination of the covered employee's employment for any reason other than gross misconduct; ▪ Reduction in the hours worked by the covered employee; ▪ Covered employee becomes entitled to Medicare; ▪ Divorce or legal separation of the spouse from the covered employee; or ▪ Death of the covered employee.

Why can COBRA coverage end early?

COBRA provides that your continuation coverage may be terminated before the end of the maximum coverage period for any of the following reasons: The Plan Sponsor no longer provides group health coverage to any of its employees. Any required premium for continuation coverage is not paid in full on time.

What is the grace period for COBRA payments?

Late Paying for Ongoing COBRA Health Insurance

But if you don't make your premium payment within the 30-day grace period, your coverage can be canceled permanently. You're still covered during the grace period, as long as you ultimately do end up making your payment by the end of the grace period.

What happens between termination and COBRA?

You simply tell the employee at the termination meeting that he or she will be eligible for COBRA and can stay on the company health plan for, usually, a period of 18 months.

How does COBRA work after termination?

(California passed a similar law known as “Cal-COBRA.”) Under COBRA, the group plan health insurance plan made available to terminated workers provides the exact same benefits as they would receive if they were still a member of the group, except that the employees have to pay the employer's cost of providing the ...

Can COBRA last 36 months?

COBRA requires that continuation coverage extend from the date of the qualifying event for a limited period of 18 or 36 months. The length of time depends on the type of qualifying event that gave rise to the COBRA rights.

Can COBRA notice be sent before termination?

The notice must be given as soon as practicable after the decision is made, and it must describe the date coverage will terminate, the reason for termination, and any rights the qualified beneficiary may have under the plan or applicable law to elect alternative group or individual coverage.

Can I cancel COBRA and enroll in marketplace?

Can I drop it during Open Enrollment and enroll in a Marketplace plan instead? During Open Enrollment, you can sign up for a Marketplace plan even if you already have COBRA. You will have to drop your COBRA coverage effective on the date your new Marketplace plan coverage begins.

Can I change my mind about COBRA?

If you waive COBRA continuation coverage before the due date, you may change your mind if you submit a completed election form before the due date.

Can I cancel COBRA and get a refund?

Generally, there are no refunds when you cancel your plan early. You may contact your administrator or your past employer for specific insurance payment information.

What happens if employer never sends COBRA?

DOL ERISA Penalties — An employer is liable up to an additional $110 per day per participant if they fail to provide initial COBRA notices. ERISA can also hold any fiduciary personally liable for non-compliance.

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 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.

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 COBRA cheaper than marketplace?

Benefits of Getting Coverage Through The Healthcare Insurance Marketplace (HIM) In general, COBRA tends to be more expensive than HIM plans. Even though you are eligible to receive the same insurance that you had through your employer, you are now responsible for paying the entire premium cost.

Why would I get a letter from COBRA?

Qualifying Event: At the end of your employment or because of reduction of hours (not maintain full-time status) you will receive this letter. It is VERY important that you review this letter and make your decision if you will need to continue your coverage through COBRA.

What is the definition of a pre existing medical condition?

Any health condition you have now or had in the past; have been diagnosed with or are waiting for a diagnosis of; have been treated for or are having treatment for before the start date of any health insurance or income replacement insurance cover.

Is COBRA 30 or 60 days?

If you are entitled to elect COBRA continuation 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.