Page 112 - Group Insurance and Retirement Benefit IC 83 E- Book
P. 112

COBRA coverage periods

                    Qualifying event     Beneficiary eligible for COBRA      Maximum  coverage  time

                   (months)
                   Termination of job

                   Reduced hours
                   Employee Spouse Dependent child  18

                   Employee entitled to Medicare

                   Divorce or legal separation
                   Death of employee

                   Spouse Dependent child       36
                   Loss of dependent-child status

                   Dependent child       36


                   COBRA eligibility also extends to workers in state and local government, as well as to

                   workers classified as independent contractors. However, the law grants an exemption to
                   the  District  of  Columbia,  federal  employees,  certain  church-related  organizations  and

                   firms employing fewer than 20 people. The IRS has said that employers must figure part-

                   time workers into their employee total to determine if they can claim exemption.


                   Even if you work at a small company that is exempt from federal law, you might not be
                   completely out of luck. Many states have adopted their own laws, sometimes known as

                   "mini-COBRA," that often grant broader rights in determining eligibility for coverage.
                   Check with your state insurance department to find out if you are entitled to continued

                   health-care coverage under a state COBRA plan.


                   Employers with self-funded health plans (generally large corporations) are exempt from

                   state regulation of their plans, but employers who buy coverage through outside insurers
                   (generally smaller businesses) are subject to such laws.


                   Keep in mind, too, that you must actually be covered under an employer health plan to be

                   eligible for COBRA. If your employer has more than 20 workers but doesn't offer health
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