Monday, February 23, 2009

Cobra Insurance Coverage Rules

Cobra Insurance Coverage Rules

Cobra Insurance Coverage Rules

Cobra Insurance Coverage Periods Rules

1.
a. Qualifying event - Termination of job, reduced hours
b. Beneficiary eligible for COBRA - Employee Spouse Dependent child
c. Maximum coverage time (months) - 18

2.
a. Qualifying event - Employee entitled to Medicare, Divorce or legal separation, Death of employee
b. Beneficiary eligible for COBRA - Spouse Dependent child
c. Maximum coverage time (months) - 36

3.
a. Qualifying event - Loss of dependent-child status
b. Beneficiary eligible for COBRA - Dependent child
c. Maximum coverage time (months) - 36


COBRA Coverage Ends

- The last day of maximum coverage.

- Premiums are not paid on a timely basis.

- The employer ceases to maintain any group health plan.

- You obtain coverage through another employer group health plan that does not contain any exclusion or limitation with respect to any pre-existing condition of a beneficiary.

- A beneficiary is entitled to Medicare benefits.


COBRA Things Keep Mind

- Premium payments
- Extensions
- Notification rights
- Life insurance
- New workers
- Plan description
- Switching plans
- Conversion plans
- Moving
- Premium costs
- Premium notices
- Disability