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Qualifying Event Notice Information for Employer to Plan...

Plan Administrator

Name: Qualifying Event Notice Information for Employer to Plan Administrator
Brand: US Legal Forms
Price: 59.00 USD
Rating: 4.81 (307 reviews)

Category:

Employment - Benefits

State:

Multi-State

Control #:

US-AHI-006

Format:

Instant download

Description Information Employer Application

This AHI form is a Notice to Plan Administrator of Qualifying Event for COBRA Coverage.

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Qualifying Employer File Other Form Names

Notice Employer Administrator Information Employer Blank Qualifying Employer Form Plan Administrator Order Information Employer Statement Plan Administrator Pdf Information Employer Document

Information Employer Fill FAQ

Notifying all eligible group health care participants of their COBRA rights. Providing timely notice of COBRA eligibility, enrollment forms, duration of coverage and terms of payment after a qualifying event has occurred.

Through the Marketplace, 1 The Department of Health and Human Services administers the COBRA provisions of the Public Health Service Act covering state and local government plans. individuals may qualify for cost-sharing reductions and a tax credit that lowers monthly premiums.

Since losing COBRA coverage early is not a qualifying event, you would not be eligible to sign up for coverage through the Exchange. (If your COBRA runs out after the normal period, which is typically 18 or 36 months, you should be eligible for a Special Enrollment and could sign up for coverage through the Exchange).

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

Employers who fail to comply with the COBRA requirements can be required to pay a steep price. Failure to provide the COBRA election notice within this time period can subject employers to a penalty of up to $110 per day, as well as the cost of medical expenses incurred by the qualified beneficiary.

COBRA beneficiaries pay the full health insurance premium plus a 2 percent administration fee. If monthly premiums for employees with single coverage are $200, for example; the COBRA beneficiary pays 102 percent of that amount, or $204.

Your business has 90 days to provide the employee with a COBRA General Notice, which basically describes the employee's rights and obligations under COBRA. When a qualifying event occurs. Your business must notify the employee of their COBRA rights within 14 days of the qualifying event with an election notice.

Blue Shield administers Cal-COBRA when an employer is subject to it under state law. Groups have the option to self-administer their federal COBRA benefits or choose a third-party COBRA administrator, including Blue Shield's preferred COBRA administrator, CONEXIS.

Coverage is available up to $1 million per person. For more information and pricing, you can call us at 1-877-262-7241 or complete a free quote online.

Plan Administrator

Description Information Employer Application