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COBRA After Job Loss: Deadlines and Coverage Rights

COBRA may let covered workers and family members keep job-based health insurance after a layoff, firing, resignation, or reduction in hours.

6 min read

Can You Keep Health Insurance After Losing a Job?

Federal COBRA law may let a covered employee, spouse, or dependent child temporarily continue the same group health coverage after a qualifying event causes coverage to end. For an employee, a voluntary or involuntary job loss other than termination for gross misconduct, or a reduction in hours, can be a qualifying event. The plan must be subject to COBRA, the person generally must have been covered before the event, and the employer must continue maintaining a group health plan.

Which Health Plans Are Subject to COBRA?

COBRA generally applies to private-sector employer and employee-organization group health plans when the employer had at least 20 employees on more than half of its typical business days in the previous calendar year. It also applies to state and local government plans. Federal government plans, churches, and certain church-related organizations are outside these federal COBRA rules. A state continuation law, sometimes known as mini-COBRA, may cover an insured plan when federal COBRA does not.

Family Members Can Make Separate Elections

Each qualified beneficiary can have an independent election right. A covered spouse or dependent child may elect continuation coverage even if the former employee does not, and family members may make different coverage decisions. Save proof showing who was enrolled on the day before the qualifying event, because eligibility generally depends on prior plan coverage and the event that caused each person to lose it.

When Should the COBRA Election Notice Arrive?

For termination or reduced hours, the employer generally has 30 days to notify the plan administrator. The administrator generally then has 14 days to provide an election notice. When the employer is also the plan administrator, the combined period is generally 44 days after the qualifying event, or after coverage ends if the plan measures its notice period from that later loss-of-coverage date. Keep the termination or hours-reduction notice, benefits summary, envelope, email headers, and the date coverage actually ended.

The Election and First-Payment Deadlines Are Different

A qualified beneficiary generally must receive at least 60 days to elect COBRA, measured from the later of the date job-based coverage ends or the date the election notice is provided. After a timely election, the plan must allow at least 45 days for the first premium payment. Coverage is generally retroactive to the date prior coverage ended when the election and required payment are timely, so the first payment may cover more than one month. Do not assume a bill or reminder will arrive.

How Long Does COBRA Last and What Can It Cost?

Termination or reduced hours generally makes COBRA available for up to 18 months. Certain disability and second-event rules can extend coverage for eligible beneficiaries, but they have separate facts and notice duties. A plan may usually charge up to 102 percent of the total plan cost, including the share the employer previously paid. Ongoing monthly payments must have a 30-day grace period, but coverage can end early for nonpayment or other reasons allowed by the statute and plan.

Compare COBRA With Other Enrollment Windows

COBRA generally continues the same coverage available to similarly situated active participants, but it may not be the least expensive option. The Labor Department advises comparing special enrollment in another employer plan, Marketplace coverage, Medicaid, and the Children's Health Insurance Program. Another employer plan may use a 30-day special-enrollment window, while Marketplace coverage after loss of job-based insurance generally uses a 60-day window. Choosing COBRA can affect later enrollment timing, so compare effective dates, premiums, providers, prescriptions, deductibles, and family needs before a window closes.

What If the Notice Is Missing or Coverage Is Denied?

Contact the plan administrator in writing and ask for the Summary Plan Description, COBRA procedures, election notice, premium amount, coverage-loss date, and the reason for any denial or early termination. Preserve the full correspondence, plan cards, claim denials, medical bills, payment records, proof of mailing, and contact logs. The U.S. Department of Labor's Employee Benefits Security Administration provides assistance for private-sector plans; state or local government plans use a different federal contact path.

When to Get a Free Consult

Get a free consult if job loss or reduced hours ended health coverage and the election notice was missing or late, eligibility was denied, family members were excluded, a timely election or payment was rejected, coverage was ended early, or benefits loss accompanied a disputed termination or retaliation. Seek review promptly because plan coverage, worker and beneficiary status, notice dates, payment records, other enrollment windows, remedies, and state law can change the analysis. This article is general information, not legal advice.

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