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Illinois Employer - Plan Administrator Notice to Employee of Unavailability of Continuation

State:
Multi-State
Control #:
US-AHI-007
Format:
Word
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Description

This AHI form is sent to employees who are not entitled to the Consolidated Omnibus Budget Reconciliation Act.

The Illinois Employer — Plan Administrator Notice to Employee of Unavailability of Continuation is an important document that informs employees about the unavailability of continuation coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA). This notification is typically sent by the employer or plan administrator to employees who are ineligible for COBRA benefits or if the employer-provided health coverage is not subject to federal COBRA laws. There are several types of Illinois Employer — Plan Administrator Notice to Employee of Unavailability of Continuation notices, including: 1. Illinois Employer — Plan Administrator Notice to Employee of Unavailability of Continuation (Non-COBRA Eligible): This notice is sent to employees who do not meet the eligibility criteria for COBRA continuation coverage, such as part-time employees, those who have not been employed for the required duration, or spouses and dependents who are not covered under the plan. 2. Illinois Employer — Plan Administrator Notice to Employee of Unavailability of Continuation (Non-Federal COBRA): Employers who have fewer than 20 employees or offer self-funded health plans that are not subject to federal COBRA laws are required to provide this notice. It notifies employees that the employer-provided health coverage does not meet the federal COBRA requirements, and they may not be eligible for continuation coverage. The Illinois Employer — Plan Administrator Notice to Employee of Unavailability of Continuation serves to inform employees about their rights and options in terms of health coverage when they no longer qualify for COBRA benefits or if their employer-provided health coverage is not subject to federal COBRA laws. The notice typically includes the following information: 1. Explanation of eligibility criteria: The notice outlines the specific eligibility requirements an employee must meet to qualify for continuation coverage under COBRA. It states the qualifying events (such as termination of employment or reduction in work hours) and the duration of coverage available. 2. Ineligibility reasons: The notice clearly explains why the employee is ineligible for continuation coverage, such as being a part-time employee, not meeting the required employment duration, or not being covered under the plan as a spouse or dependent. 3. Alternative coverage options: The notice may include information on alternative coverage options available to the employee, such as individual health insurance plans, state or federal health insurance programs (e.g., Medicaid or Medicare), or other employer-sponsored health plans. 4. Contact information: The notice provides contact details for the employer or plan administrator, allowing employees to reach out with any questions or concerns regarding their health coverage. When drafting the Illinois Employer — Plan Administrator Notice to Employee of Unavailability of Continuation, it is crucial to use relevant keywords such as "Illinois Employer," "Plan Administrator," "Notice to Employee," "Unavailability of Continuation," "COBRA," "eligibility," "ineligibility," "alternative coverage options," and "contact information." Using these keywords will ensure that the content remains keyword-rich and aligns with the purpose and context of the notice.

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FAQ

Under COBRA, an individual may be entitled to up to 18 months, 29 months, or 36 months of continuation coverage depending upon which qualifying event(s) triggered the COBRA coverage.

The Consolidated Omnibus Budget Reconciliation Act (COBRA) provides eligible covered members and their eligible dependents the opportunity to temporarily extend their health coverage when coverage under the health plan would otherwise end due to certain qualifying event.

Illinois Continuation (mini-COBRA) must be offered to you and your eligible dependents who were continuously covered under the group policy for three months prior to termination of employment or reduction in hours below the minimum required by the group plan.

When does COBRA continuation coverage startCOBRA is always effective the day after your active coverage ends. For most, active coverage terminates at the end of a month and COBRA is effective on the first day of the next month.

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.

There are several other scenarios that may explain why you received a COBRA continuation notice even if you've been in your current position for a long time: You may be enrolled in a new plan annually and, therefore, receive a notice each year. Your employer may have just begun offering a health insurance plan.

If You Do Not Receive Your COBRA PaperworkReach out to the Human Resources Department and ask for the COBRA Administrator. They may use a third-party administrator to handle your enrollment. If the employer still does not comply you can call the Department of Labor at 1-866-487-2365.

The initial notice, also referred to as the general notice, communicates general COBRA rights and obligations to each covered employee (and his or her spouse) who becomes covered under the group health plan.

More info

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Illinois Employer - Plan Administrator Notice to Employee of Unavailability of Continuation