Monday, October 23, 2017
 

What Qualifying Events Trigger COBRA?

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checklistBy Danielle Capilla, Chief Compliance Officer for United Benefit Advisors

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires employers to offer covered employees who lose their health benefits due to a qualifying event to continue group health benefits for a limited time at the employee’s own cost. Per regulation, qualifying events are specific events that cause or trigger an individual to lose health coverage. The type of qualifying event determines who the qualified beneficiaries are and the maximum length of time a plan must offer continuation coverage. A group health plan may provide longer periods of continuation coverage beyond the maximum 18 or 36 months required by law.

There are seven triggering events that are qualifying events for COBRA coverage if they result in loss of coverage for the qualified beneficiaries, which may include the covered employee, the employee’s spouse, and dependent children.

Triggering event plus loss of coverage equals COBRA coverage

The following quick reference chart indicates the qualifying event, the individual who is entitled to elect COBRA, and the maximum length of COBRA continuation coverage.

COBRA qualifying events

For an extensive discussion of each qualifying event and the conditions when it is not a triggering event (including examples), request UBA’s Compliance Advisor, “What Qualifying Events Trigger COBRA?’.

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