With double digit unemployment rates and an economy that is not showing signs of recovery any time soon, many laid off American workers are dealing with not only the loss of income, but the loss of health insurance coverage. For anyone, but especially those with a family, this can be quite devastating. The good news is that the government requires that employers offer continuing coverage through the COBRA insurance plan.
It is always best to take advantage of this health insurance benefit if it is available. A lapse in coverage may result in difficulties being added to a new plan in the future. In addition, there is no way to predict the occurrence of accidents or illness that might debilitate you or a dependant.
Who Qualifies?
The COBRA insurance extension provides supplemental health insurance that fills the gap between coverage due to unemployment. Your last employer is required to provide this option. You will qualify if you have had hours reduced and become a part-time employee ineligible for the employer’s health insurance benefit, laid off, or terminated for any reason other than gross misconduct. Insurance coverage extends to all dependants who were previously on your policy.
If you have been without a job for some time, the American Recovery and Reinvestment Act (ARRA) provides extended COBRA benefits to anyone who lost employment in the period between September 2008 and February 2009. If you are still without employment now, you could now be eligible to receive health insurance with your last employer’s plan.
The Cost of COBRA Insurance Extension
Be aware that after separation from your employer, you will have to pay the entire health insurance premium out of your own pocket. However, there is some good news. For one, the cost is often less expensive than acquiring an individual insurance plan. The second piece of good news is that the federal government offers a subsidy to those who cannot afford the premium, up to 65%.
What You Need to Know After Losing Your Job
The responsibility of reporting a layoff or termination is up to the employer. They have 14 days to do so. Eligibility for COBRA insurance extension is determined by a number of factors including the size of the employer, the circumstances of separation, and many other rules and regulations. It may be helpful to use the services of a consultation company to help you sort through the details.
You should also be aware that there are time limits in place. There is a 60-day period in which the separated employee can decide whether or not to receive continued health insurance coverage. After that, you will have 45 days to pay the initial premium.
There are also specific regulations from the health insurance provider as to how and when claims for extended coverage are filed. The insurance company may deny benefits. You are allowed to appeal the denial within 60 days. Because the health insurance provider often carries numerous plan stipulations, you may want to obtain assistance when dealing with the company.
There are many rules, regulations, and stipulations that apply to COBRA insurance extension benefits but there are also resources available to make the process easier. Look into the options today and don’t be left without health insurance.
