Illinois COBRA Continuation Waiver Letter

State:
Multi-State
Control #:
US-AHI-004
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is a continuation waiver letter for the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA).

How to fill out COBRA Continuation Waiver Letter?

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FAQ

COBRA continuation coverage notices are documents that explain employees' rights under the Consolidated Omnibus Budget Reconciliation Act of 1985. These documents generally contain a variety of information, including the following: The name of the health insurance plan.

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,

You May Cancel COBRA At Any Time To cancel your your COBRA coverage you will need to notify your previous employer or the plan administrator in writing. After you stop your COBRA insurance, your former employer should send you a letter affirming termination of that health insurance.

The COBRA Notice informs the qualified beneficiary of their rights under COBRA law, and the form allows the qualified beneficiary to elect COBRA coverage to continue enrollment in benefits.

If you waive COBRA coverage during the election period, you must be permitted later to revoke your waiver of coverage and to elect continuation coverage as long as you do so during the election period. Then, the plan need only provide continuation coverage beginning on the date you revoke the waiver.

Instead, Assistance Eligible Individuals do not have to pay any of the COBRA premium for the period of coverage from April 1, 2021 through September 30, 2021. The premium is reimbursed directly to the employer, plan administrator, or insurance company through a COBRA premium assistance credit.

COBRA Coverage PeriodsYou can cancel the COBRA coverage at any time within 18 months. You're not locked in. You will likely want to drop COBRA once you become eligible for a different health plan, such as if you get another job. If you stop paying premiums, COBRA coverage will end automatically.

Continuation resulting from an employee's termination or reduction of hours shall be offered for a maximum period of 12 months from when termination or reduction in hours began. The premium for Illinois employee continuation for you, your spouse and dependent children may not exceed that of the group rate.

If you want to avoid paying the COBRA cost, go with a short-term plan if you're waiting for approval on another health plan. Choose a Marketplace or independent plan for broader coverage. Choose a high-deductible plan to keep your costs low.

Q3: Which employers are required to offer COBRA coverage? 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.

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Illinois COBRA Continuation Waiver Letter