Cobra and Medicaid insurance for job lost guys

[Merabharathmahan]

H1 meeda evaridina fulltime job poyi appude wife dependent di pregnancy unte Cobra insurance or Medicaid theesukovachata kada any idea?

DB janalaku use avutadi.  if any one knows tell information

[iddaritho]

Cobra will be three times of ur normal insurance 

Better buy insurance outside in market place 

Pregnancy and job loss will be qualifying event I think but check with ur employer 

2014 when I moved to New employer 

He didn't give me insurance for 14 days and I brought cobra for 1200 dollars for 2 weeks 

[Merabharathmahan]

11 minutes ago, iddaritho said:

Cobra will be three times of ur normal insurance 

Better buy insurance outside in market place 

Pregnancy and job loss will be qualifying event I think but check with ur employer 

2014 when I moved to New employer 

He didn't give me insurance for 14 days and I brought cobra for 1200 dollars for 2 weeks 

Nuvve cobra insurance vallaku call chesi theesukunnava? or nee previous employer fire chestunnappudu cheppada deeni gurinchi

market lo bayata konukkolem kada year madyalo ala. 

[holycow205]

Chadukondri!! 

COBRA

COBRA (the Consolidated Omnibus Budget Reconciliation Act) is a federal law that allows employees and eligible dependents to temporarily continue group Medical, Dental, Vision and Healthcare Reimbursement Accounts (General and Limited Purpose) when eligibility under the group plan ends. Refer to the COBRA rates document for more information.

COBRA eligibility is based on IRS qualifying events and general guidelines are outlined below. This list is not comprehensive and you are encouraged to review COBRA information for details regarding all qualifying events, COBRA duration periods, and cost.

COBRA Qualifying Events:

Employee

• Your employment with Employer ends
• You lose eligibility because of a reduction in the number of hours you work or transfer to an ineligible class

Eligible Dependents (Spouse/Domestic Partner & Children)

• You die
• You divorce or legally separate from your spouse
• Dependent no longer meets eligibility requirements (example – reaches age 26)
• Your employment with Employer ends
• You lose eligibility because of a reduction in the number of hours you work or you transfer to an ineligible status

To elect continuation coverage:

Once you receive the COBRA election form from COBRA Connection, please complete and return the election form to the address listed on the form, postmarked within 60 days after the later of: (a) the date coverage would otherwise end, or (b) the date of this notice. If you elect to continue coverage, you must, within 45 days of your election date, submit to the same address, your check to cover the initial premium payment. The check for this initial premium payment must cover the number of full months from the date of loss of coverage to the time of your payment. Continuation coverage will not become effective until the full and Correct payment is made and received. Premium amounts are shown below. If the election form is not received within the specified 60-day period and premium is not received 45 days after you elect to continue, you will not receive continued benefits.

After the initial premium is paid, your premium due date will be as given by COBRA Connection. Premium payments for subsequent months of continued coverage must be postmarked no later than 30 days after the due date for the month. Partial payments will not be accepted. Failure to pay premiums within the above described time constraints will result in a loss of continuation coverage. There is no reinstatement.

If continuation is elected, coverage will end on the earliest of the following:

1. The date a Qualified Beneficiary becomes, after the date of election, covered under another group health / dental plan that does not contain any exclusion or limitation with respect to any preexisting condition of such person other than such an exclusion or limitation which does not apply to (or is satisfied by) such beneficiary by reason of the Health Insurance Portability and Accountability Act of 1996: or
2. The date a Qualified Beneficiary becomes. after the date of election, entitled to Medicare; or
3. The date the employer ceases to provide any group health plan to any active employee; or
4. 18 months after the date of loss of coverage due to termination of employment (other than gross misconduct) or reduction of hours worked by an employee which renders you and/or your covered dependents, ineligible for coverage; or
5. 29 months ii you or your covered dependents are totally disabled for Social Security purposes on the date of the termination of employment or if you become disabled during the first 60 days following the date of termination, you may be entitled to 11 additional months (for a total of 29 months) of continuation coverage at an increased premium rate. The totally disabled person must inform the plan administrator of the Social Security disability within 60 days of the disability determination and within 18 months of the date of employment termination. The cost of COBRA coverage for an individual entitled to extended coverage due to Social Security Disability to the period after the end of the l8month COBRA coverage period will increase to 150% of the full cost for active participants.
6. 36 months after the date of loss of coverage due to a Qualifying Event other than termination of a covered employee's employment ; or

The end of the 18, 29 or 36 months is measured from the Qualifying Event date shown above. There may be more than one Qualifying Event but the total COBRA coverage period will not exceed 36 months beginning with the date of the first Qualifying Event.

The monthly payment for the group health/dental plan is:

For a summary of Cobra rights, refer to your summary plan description, booklet—certificate or other notice given by the employer.

You will not he covered under the plan during the election period. However, if a cobra election is made and applicable premiums paid is described on this form, then your health benefit plan will be reactivated back to your loss of coverage date and pending claims will he released for payment. If a medical provider calls for verification of benefits, he/she will be told that you do not have benefits, but upon election and payment of applicable premium. all valid claims will he released for payment.

Individual Election Rights and Eligibility

Each individual who was covered under the plan on the date before the event is a "Qualified Beneficiary' and has independent election rights to continuation coverage. This means cacti dependent that was covered can elect independently to continue coverage, even if the covered employee chooses not to continue coverage. However, continuation coverage is available to Qualified Beneficiaries subject to the continued eligibility. The Plan Administrator reserves the right to verify eligibility status and terminate continuation coverage back to the original COBRA effective date, if it is determined you are ineligible or coverage was obtained through a material misrepresentation of the facts.

• If, during the COBRA continuation period, a Qualified Beneficiary acquires new dependents (such as through marriage), the new dependent(s) may be added to the coverage according to the rules of the plan. However, the new dependents do not gain the status of a Qualified Beneficiary and will lose coverage if the Qualified Beneficiary who added them to the plan loses coverage.
• An exception to this is if a child is born to or a child is placed for adoption with the covered employee Qualified Beneficiary. If the nets born or adopted child is added to the covered employee's COBRA continuation coverage, then unlike a new spouse, the newborn or adopted child will gain the rights of all other "Qualified Beneficiaries". The addition of a newborn or adopted child does not extend the 18, 29 or 36 month coverage period. Plan procedures for adding new dependents can he found in the summary plan description. Premium rates will he adjusted at the time to the applicable rate.

Secondary Events
An extension of the original 18 or 29 month continuation period can also occur, if during the I 8 or 29 months of continuation coverage, a second event takes place (divorce, legal separation, death. Medicare entitlement, or a dependent child ceasing to be a dependent). If a second event occurs, then the original 18 or 29 months of continuation coverage will he extended to 36 months from the date of the original qualifying event date for eligible Qualified Beneficiaries. If a second event occurs,. it is the Qualified Beneficiaries responsibility to notify the Plan Administrator in writing within 60 days of the second event and within the original 18 month COBRA timeline. In no event, however, will continuation coverage last beyond three years from the date of the event that originally made the Qualified Beneficiary eligible for continuation coverage.

• Continuation coverage will provide the same level of benefits that is provided to active employees. If the plan is amended during the period you have continued coverage, these changes will also apply to your coverage and may increase or decrease your cost. If an employer makes an open enrollment period available to similarly situated active employees with respect to who a qualifying event has not occurred; the same open enrollment period rights must he made available to each Qualified Beneficiary, receiving COBRA continuation coverage . An open enrollment period is a period during which an employee covered under a plan can choose to be covered under another benefit package within the same plan, or to add or eliminate coverage of family members. The employer can charge up to 102% of the premium applicable for active employees

Monthly premiums
Once your initial premiums are paid, monthly premiums are due on the first of each month. You will have a maximum (30) day grace period following the due date in which to make these premium payments. If applicable payment is not made within the grace period, then coverage will be cancelled back to the end of the prior month. Once COBRA coverage is cancelled you will not be reinstated. Partial payments will not be accepted. It is the Qualified Beneficiary's responsibility to make these monthly payments, as you will not receive a monthly billing or warning notice.

• Certificate of Portability provides evidence of your prior health coverage. You may need to furnish a certificate if you become eligible under a group health plan that excluded coverage for certain medical conditions that you have before you enroll. This certificate may need to be provided if medical advice diagnosis, care or treatment was recommended or received for the condition within the 6 month period prior to your enrollment in the new plan. If you become covered under another group health plan, check with the Plan Administrator to see if you need to provide this certificate. You may need this certificate to buy for yourself of your family a plan that does not exclude coverage for medical conditions that are present before you enroll.
• There is a special Qualifying Event when retirees and their covered dependents lose coverage because their employer files a Title 11 bankruptcy. Special rules apply to this special Qualifying Event. (Refer to your summary plan description or other notice given by the employer)
• If you are also eligible for the option of continuing your group health expense benefits under a state law, you may choose the COBRA continuation option as outlined on this form or the state continuation option.
• To receive accurate and timely information regarding your continuation rights, please notify your Plan Administrator (employer) of any change in address immediately. If you have any questions as to the contents of this notice or your COBRA rights, please contact our Plan Administrator. This notice is not a description of actual benefits under the policy. Should a Qualified Beneficiary need actual plan benefits information to assist in making the election decision, please consult your summary plan description or call the Human Resources or Benefits Department and information will be provided to you.

[icecreamZ]

1 hour ago, Merabharathmahan said:

H1 meeda evaridina fulltime job poyi appude wife dependent di pregnancy unte Cobra insurance or Medicaid theesukovachata kada any idea?

DB janalaku use avutadi.  if any one knows tell information

company provide cheyyali COBRA benifits.....job poyaaka....you have to pay the premium for continued benefits.