Pima Arizona Summary of Rights and Obligations under COBRA
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FAQ
COBRA does not cover plans that provide only life insurance or disability benefits. Group health plans covered by COBRA that are sponsored by private-sector employers generally are governed by ERISA the Employee Retirement Income Security Act of 1974.
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.
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,
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.
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.
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.
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.
The COBRA Rights Notification Letter Template contains a model form of the letter that all employees must receive either from their employer or from the benefit plan administrator of their benefit plans.
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 general notice describes general COBRA rights and employee obligations. This notice must be provided to each covered employee and each covered spouse of an employee who becomes covered under the plan. The notice must be provided within the first 90 days of coverage under the group health plan.