What disqualifies an employee for COBRA?

Under COBRA, a person who has been terminated for gross misconduct may be denied COBRA. Gross misconduct is not specifically defined by COBRA, but when based on an employer's practice or policy it could include misrepresentation during the hiring process or falsifying information on a Form I-9.

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Summary of Rights and Obligations under COBRA

Philadelphia Pennsylvania Summary of Rights and Obligations under COBRA

Name: Philadelphia Pennsylvania Summary of Rights and Obligations under COBRA
Brand: US Legal Forms
Rating: 4.62 (325 reviews)

Category:

Employment - Cobra

State:

Multi-State

County:

Philadelphia

Control #:

US-252EM

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Description

This form is used by an employer to inform a separating employee of the rights available under COBRA.

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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,

As an employer, you are responsible for notifying your former employee of the right to elect COBRA continuing health care coverage under your group plan. Most employers will include COBRA coverage information in the business employee handbook and as part of an employee's exit paperwork.

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.

COBRA Is The Same Insurance You Had By using your COBRA right, you simply have the same employer-sponsored health plan you just had before you lost it. When you elect to stay on your employer's health insurance, you keep your same doctors, copays and prescription coverage.

Under the Employment Retirement Income Security Act of 1974 (ERISA), a penalty of up to $110 per day may be imposed for failing to provide a COBRA notice.

COBRA for Pennsylvania Residents COBRA Insurance PA Pennsylvania law requires employers with 50 or more full-time employees to offer employees group health insurance coverage. Small businesses with fewer than 50 employees might offer health insurance to their employees but aren't required to do so by state law.

You may be able to keep your job-based health plan through COBRA continuation coverage. COBRA is a federal law that may let you pay to stay on your employee health insurance for a limited time after your job ends (usually 18 months). You pay the full premium yourself, plus a small administrative fee.

The federal COBRA law allows employees at larger businesses (20 or more employees) to purchase continuation health coverage after they leave employment for 18 months (or, in some cases, 36 months) after their employment ends.

Under COBRA, a person who has been terminated for gross misconduct may be denied COBRA. Gross misconduct is not specifically defined by COBRA, but when based on an employer's practice or policy it could include misrepresentation during the hiring process or falsifying information on a Form I-9.

Voluntary or involuntary termination of the covered employee's employment for any reason other than gross misconduct. Reduction in the hours worked by the covered employee below plan eligibility requirements. Covered employee becoming entitled to Medicare. Divorce or legal separation of the covered employee.

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Only a summary of your COBRA continuation coverage rights. Beneficiaries if Plan coverage is lost) with a brief summary of your rights and obligations under current COBRA law.Qualified Beneficiaries. Concerning the information provided in the notices, please contact the Benefits Coordinator. The notices include: 1. The Plan will offer COBRA continuation coverage to qualified beneficiaries only after the Fund Office has been notified that a qualifying event has occurred. This summary does not cover all provisions of the law; nor does it in any way change any person's rights or obligations under the. Please refer to "Continuation Coverage under COBRA" for additional details. III. Eligible Dependent of Employee who Dies in the Line of Duty. Special enrollment rights.

Eligible beneficiaries of the Plan on the date covered by the COBRA continuation coverage provision (the Plan year) may have special enrollment rights under COBRA. In order to participate under the COBRA continuation coverage provision, beneficiaries must meet all the following three conditions: 1. You (or your beneficiary(s)) were legally responsible for the employee's medical expenses on or before the Effective Time as determined by the Secretary. The employee's name must be provided. 2. The employer or the employer's agent has not filed a valid certification relating to medical expenses filed with your employer's coverage provider (i.e., your insurer) prior to the Effective Time. The employee's name must be provided. 3. You (or your beneficiary(s)) cannot obtain coverage under any other type of coverage at any time. IV. Employee of the Year.

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Philadelphia Pennsylvania Summary of Rights and Obligations under COBRA

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What are COBRA rights?

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Is COBRA coverage the same as my insurance?

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How does COBRA work when you lose your job?

How does COBRA work in Pennsylvania?

What disqualifies an employee for COBRA?

What triggers COBRA rights?

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What are the rights of employees under COBRA?

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Philadelphia Pennsylvania Summary of Rights and Obligations under COBRA

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