Which of the following would be a qualifying event as it relates to COBRA quizlet?
Asked by: Dr. Enoch Brown | Last update: March 30, 2025Score: 4.9/5 (51 votes)
Which of the following would be a qualifying event as it relates to 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 ...
Which of the following would not be qualified under COBRA?
Final answer: The event that would NOT be a qualifying event under COBRA is gross misconduct. Qualifying events typically include company downsizing, changes in employment status, and voluntary termination. Under COBRA, individuals terminated for gross misconduct are not eligible for continued health coverage.
Under which of the following circumstances will the benefits under COBRA?
The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss, ...
What does underwriting a group health insurance plan that is paid for by the employer require?
The underwriting process for group health insurance typically requires detailed information about the group members. This includes demographic data, medical history, and information on pre-existing conditions. The underwriter uses this data to assess the risk and calculate premiums.
COBRA Qualifying Events
Is COBRA an employer group health plan?
How does COBRA insurance work? COBRA applies to most private sector businesses with 20 or more employees. It requires an employer's group health insurance plan to continue after qualifying life events.
What underwriting requirement do insurers impose when offering the insured a disability income policy with a future increase rider?
Final answer: Insurers require proof of current employment when offering a disability income policy with a future increase rider to assess the insured's income level and ensure they are employed at the time of the underwriting.
What is a COBRA qualifying event?
What are the qualifying events for eligibility for Federal COBRA and Cal-COBRA? Qualifying events are events that cause an individual to lose his or her group health coverage, most commonly because: The employee is no longer employed for any reason other than gross misconduct.
How does an employer qualify for COBRA?
COBRA generally applies to all private-sector group health plans maintained by employers that had at least 20 employees on more than 50 percent of its typical business days in the previous calendar year. Both full- and part-time employees are counted to determine whether a plan is subject to COBRA.
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 does not qualify for COBRA?
COBRA does not apply to plans sponsored by the federal government or by churches and certain church-related organizations. Many states have laws similar to COBRA or laws sometimes referred to as mini-COBRA, which apply to health plans maintained by employers with fewer than 20 employees.
Who is not a qualified beneficiary under COBRA?
(e) An individual is not a qualified beneficiary if the individual's status as a covered employee is attributable to a period in which the individual was a nonresident alien who received from the individual's employer no earned income (within the meaning of section 911(d)(2)) that constituted income from sources within ...
What plans are not subject to 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.
What are examples of a qualifying event?
- Getting married or divorced.
- Having a baby or adopting a child.
- Death in the family.
What are the 7 COBRA qualifying events in California?
The seven COBRA qualifying events that allow individuals to maintain their employer-sponsored health insurance include termination of employment for reasons other than gross misconduct, reduction in the number of work hours, divorce or legal separation from the covered employee, the covered employee becoming entitled ...
What type of information is not included in a certificate of insurance?
A certificate of insurance provides proof of coverage but does not include information about the cost of premiums. Specifically, details about filing claims, policy benefits, exclusions, and the duration of coverage are also not included.
Do you qualify for COBRA if you 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.
What does COBRA stand for in insurance?
COBRA stands for Consolidated Omnibus Budget Reconciliation Act. This is the federal law that provides many workers with the right to continue coverage in a group health plan. This federal law applies to employers with 20 or more employees, including self-insured employers.
How does a COBRA work when laid off?
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.
Which of the following is considered a qualifying event under 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 marriage a COBRA qualifying event?
If you or your dependent elects COBRA continuation coverage, you will have another opportunity to request special enrollment in a group health plan or a Marketplace plan if you have a new special enrollment event, such as marriage, the birth of a child, or if you exhaust your continuation coverage.
Is Ltd a COBRA qualifying event?
STD and LTD benefits generally provide income replacement for individuals who must take a leave of absence from work due to a qualifying condition instead of medical care. Because STD and LTD typically do not provide medical care, they're not subject to COBRA and would not be required to continue under COBRA.
Under what is an insured considered to be totally disabled in a disability income contract?
Any Occupation
The insured is considered disabled if he or she is unable to perform the duties pertaining to any gainful occupation. It limits payments to those insured's who are unable to work in any occupation based on their education, training and experience, as determined by the insurance carrier.
What does it mean that Terry is applying for a disability income policy that has a 90 day elimination period?
If a policy includes a 90-day elimination period, that indicates you must be disabled for 91 days or longer to qualify for benefits from the insurance carrier. The reality is that benefits are usually paid at the end of the month, so a 90-Day wait is actually 120 days before you collect a check.
What is underwriting in disability insurance?
When you apply for disability income insurance, the underwriting process begins. During this process, the insurance company collects information about you and uses it to decide whether to issue you a disability policy. Because a disability claim can cost an insurer a lot of money, the underwriting process is thorough.