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Friday, May 23, 2008

Consolidated Omnibus Budget Reconciliation Act 1986

Applies :
  • Applies to all organisation that have 20+ employees, who provides group health care coverage
  • Applies also to state and local govt.
COBRA Rule:
  • 30 days - Employer need to inform employee about the availability of COBRA coverage within 30 days of occurrence
  • 60 days - Qualified beneficiaries is given 60 days notice to elect coverage under COBRA.
Qualifying event and Period of coverage
  • Termination ------ 18 months
  • Reduction in Hour----- 18 months
  • Death ------- 36 months
  • Divorce -------- 36 months
  • Legal Separation ------ 36 months
  • Termination or reduction in hours of work due to disablement ----- 29 months
  • Employee become eligible to medicare -------- 36 months
  • Employee's child loses dependable status ------- 36 months
Payments for health coverage:
  • Employer may charge upto 102 % of the group premium for the coverage
  • If no payment are made, employer may discontinue COBRA coverage within 30 days of time they are due
Exception :

No COBRA coverage are given in case of termination of service due to misconduct

Discontinuation of COBRA:
  • when the employee or dependent ceases to pay the premium
  • Become eligible to medical insurance from the other new employer
  • gains medicare coverage
  • when the employer terminates its health care coverage( when goes out of business)

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