Do I qualify for COBRA?

happily single

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I have a health insurance question for you; but first of all, please promise-no flames.

I just left my job of 10 years because the boss was intolerable (or so I thought). Anyway, the new job doesn't offer health insurance. I have three kids and need coverage. According to my math I am a tiny bit over the threshold for State medical for the kids!

Would I qualify for COBRA if I volunatarily left employment? Should I try to apply for State medical hoping that it will slid through?
 
http://www.dol.gov/ebsa/faqs/faq_consumer_cobra.HTML



Who is entitled to benefits under COBRA?

There are three elements to qualifying for COBRA benefits. COBRA establishes specific criteria for plans, qualified beneficiaries, and qualifying events:

Plan Coverage - Group health plans for employers with 20 or more employees on more than 50 percent of its typical business days in the previous calendar year are subject to COBRA. Both full and part-time employees are counted to determine whether a plan is subject to COBRA. Each part-time employee counts as a fraction of an employee, with the fraction equal to the number of hours that the part-time employee worked divided by the hours an employee must work to be considered full time.

Qualified Beneficiaries - A qualified beneficiary generally is an individual covered by a group health plan on the day before a qualifying event who is either an employee, the employee's spouse, or an employee's dependent child. In certain cases, a retired employee, the retired employee's spouse, and the retired employee's dependent children may be qualified beneficiaries. In addition, any child born to or placed for adoption with a covered employee during the period of COBRA coverage is considered a qualified beneficiary. Agents, independent contractors, and directors who participate in the group health plan may also be qualified beneficiaries.

Qualifying Events - Qualifying events are certain events that would cause an individual to lose health coverage. The type of qualifying event will determine who the qualified beneficiaries are and the amount of time that a plan must offer the health coverage to them under COBRA. A plan, at its discretion, may provide longer periods of continuation coverage.

Qualifying Events for Employees:

Voluntary or involuntary termination of employment for reasons other than gross misconduct
Reduction in the number of hours of employment
Qualifying Events for Spouses:

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
Covered employee's becoming entitled to Medicare
Divorce or legal separation of the covered employee
Death of the covered employee
Qualifying Events for Dependent Children:

Loss of dependent child status under the plan rules
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
Covered employee's becoming entitled to Medicare
Divorce or legal separation of the covered employee
Death of the covered employee
 
I have a health insurance question for you; but first of all, please promise-no flames.

I just left my job of 10 years because the boss was intolerable (or so I thought). Anyway, the new job doesn't offer health insurance. I have three kids and need coverage. According to my math I am a tiny bit over the threshold for State medical for the kids!

Would I qualify for COBRA if I volunatarily left employment? Should I try to apply for State medical hoping that it will slid through?

Has 31 days lapsed since coverage was dropped?
 
Looks like I won't qualify; I worked in a very small office, 5 employees.
My last day was 2/4/10
I'm not even sure when my last day of coverage is!! I would assume 2/28, but you would think the office manager would let me know. But then again that's part of why I left-total incomptency!
 

If it was a small office, then they probably don't have to offer COBRA. If there were more employees and COBRA was required to be offered, you would have been able to elect it.
 
The way I understand it, anytime you leave a job, if you had health insurance benefits at that job, then you are eligible for Cobra, but all Cobra is, is just that you can continue to keep your existing health insurance coverage for a certain amount of time. You have to pay for the coverage out of your pocket and it can be very expensive.

Now, there was emergency legislation passed last year due to the recession that placed some of the cost burden back onto the employer but I'm not sure if that was a permanent change or just temporary since so many people were losing jobs back then.
 
The way I understand it, anytime you leave a job, if you had health insurance benefits at that job, then you are eligible for Cobra, but all Cobra is, is just that you can continue to keep your existing health insurance coverage for a certain amount of time. You have to pay for the coverage out of your pocket and it can be very expensive.

Now, there was emergency legislation passed last year due to the recession that placed some of the cost burden back onto the employer but I'm not sure if that was a permanent change or just temporary since so many people were losing jobs back then.

Actually--Cobra is only for employees of employers of a certain size. I do not know what that size is.

I do know that my DH was laid off and was not eligible b/c his employer only had 10 employees.
 
Actually--Cobra is only for employees of employers of a certain size. I do not know what that size is.

I do know that my DH was laid off and was not eligible b/c his employer only had 10 employees.

Group health plans for employers with 20 or more employees. Same reason we didnt quailify years ago.
 
Looks like I won't qualify; I worked in a very small office, 5 employees.
My last day was 2/4/10
I'm not even sure when my last day of coverage is!! I would assume 2/28, but you would think the office manager would let me know. But then again that's part of why I left-total incomptency!

no flames, but you should have done right by your kids first and tolerated the situation, rather than put your kides in harms way with no insurance. sorry if you think that is harsh. but it was meant to be.
 
i suggest you go ahead and apply for state medical.

i supervised a medicaid unit and most states have a variety of different programs with different eligibility criteria so you never know what you might actualy be eligible to. the other factor is that state programs don't nesc. count income and resources in the way you'de imagine they do so while you look at the eligibility criteria and think your not eligible you may well be.

the other thing to consider is that some states have programs purely for kids that don't qualify for any other insurance and there's no income cap-it's based on a sliding scale for your premium (so while not free, much lower than trying to purchase on your own).
 
You can just apply for individual plans for you and your kids. It will probably be less expensive then COBRA anyway. If you liked your last insurance company, go to their website and apply for individual plans for all of you.
 
Mass. law includes a 'mini-COBRA' for employers of 2-19. Maybe RI has a similar situation?
 
Your coverage may have ended at midnight on your last day at work. If you can't get an answer from your former employer, you should contact your former employer's insurance carrier (call the customer service number on the back of your card) and ask when your coverage ended.

If you haven't received COBRA paperwork by now, you probably aren't going to -- which I think is the case due to the size of your former employer. If you were eligible for COBRA (and if they did it right) they only had two weeks to send the forms. Again, the carrier can confirm this for you.

A previous poster said that new legislation put some of the cost burden back on the employer -- this is not exactly how it works. The actual COBRA subsidy is being covered by the federal government (the employer pays it and then is reimbursed through reduced payroll taxes). It is interesting for people to know that COBRA permiums, while always seem to be shockingly high, are what your employer has been paying for your coverage. It can be a real eye opener.
 
.........It is interesting for people to know that COBRA permiums, while always seem to be shockingly high, are what your employer has been paying for your coverage. It can be a real eye opener.

This is true. But, in my situation, about 25% less than a comparable individual policy.! Ouch!!

A tough decision awaits me when COBRA expires.
 
Your coverage may have ended at midnight on your last day at work. If you can't get an answer from your former employer, you should contact your former employer's insurance carrier (call the customer service number on the back of your card) and ask when your coverage ended.

If you haven't received COBRA paperwork by now, you probably aren't going to -- which I think is the case due to the size of your former employer. If you were eligible for COBRA (and if they did it right) they only had two weeks to send the forms. Again, the carrier can confirm this for you.

A previous poster said that new legislation put some of the cost burden back on the employer -- this is not exactly how it works. The actual COBRA subsidy is being covered by the federal government (the employer pays it and then is reimbursed through reduced payroll taxes). It is interesting for people to know that COBRA permiums, while always seem to be shockingly high, are what your employer has been paying for your coverage. It can be a real eye opener.

The date insurance ends depends on what is in the plan document. Some companies end it on the last day of work while others end it on the last day of the month.

A company has more than 2 weeks to get you the forms and the employee has 60 days from the date of loss to elect Cobra.
 
The date insurance ends depends on what is in the plan document. Some companies end it on the last day of work while others end it on the last day of the month.

Right -- that is why I would check with the insurance company if you cannot get a straight answer from the employer.

A company has more than 2 weeks to get you the forms and the employee has 60 days from the date of loss to elect Cobra.

A company does not have more than two weeks to send the COBRA election notice -- they actually have exactly 14 days.

Good luck!
 
Definitely check out sites like ehealthinsurance dot com to price out plans.

If you're done having kids, I found that if you get insurance that does NOT cover maternity it's much much cheaper.
 




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