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COBRA is the
abbreviation of Consolidated Omnibus Budget Reconciliation Act
of 1985. Under federal law, groups with 20 or more
employees are
required to offer continuation of their current group health
coverage (medical, dental, vision, and/or cancer) to certain
former employees and their families, if applicable, upon the
occurrence of certain "qualifying events".
Some qualifying events may include:
-
voluntary or involuntary termination of
employment for any reason other than gross misconduct;
-
reduction in the number of hours of
employment
-
death of the covered employee;
-
divorce of the covered employee from the
employee's spouse;
-
entitlement to Medicare for the covered
employee;
-
loss of dependent child status under the
plan rules.
Insurance & Benefits (I&B) will receive
notification of when an employee's employment with the District
will end. Once notified, I&B will send
information to the employee advising him/her of what
benefits they currently have and the benefit termination date
for each, which can be extended through COBRA.
COBRA allows the former employee to continue
their current benefits for themselves and dependents (if
applicable) up to the maximum of 18 months. The former
employee will have up to 60 days from the benefit termination
date or the date of the notice (the later of the two) to elect
the benefit(s) they wish to continue. Once elected,
the COBRA participant ("former employee") will have up to 45
days to pay the first premium(s). COBRA coverage begins
the day after the benefit termination date. If COBRA is
cancelled for non-payment or is voluntarily cancelled, it can
never be reinstated.
Effective February 17, 2009, President Obama introduced the
American Recovery and Reinvestment Act of 2009 (ARRA). ARRA
provides COBRA premium subsidy for employees whose
employment is involuntarily terminated (i.e. loss of
position) between September 1, 2008 and
December 31, 2009
*.
Under this provision, employees that are involuntarily
terminated may elect COBRA and will be required to pay only
35% of the regular COBRA premium. The subsidy will pay the
remaining 65% of the COBRA premium for a period of up to
nine (9) months **. The subsidy may end earlier than
nine
(9) months if:
¨
You
become eligible for coverage under another group health plan
or Medicare.
¨
COBRA
coverage ends – due to failure to pay the required 35% of
the COBRA premium.
Please
note….even
though, you may be eligible to receive the COBRA subsidy,
the rules of COBRA will still apply.
*the eligibility
date has been extended through February 28, 2010.
**the subsidy
premium assistance has been extended from 9 months to 15
months.
Through COBRA, the
benefits the former employee had will remain the same.
Plan changes can not be made at the time of termination (i.e.
903 PPO Plan to 706 PPO Plan). COBRA participants will have the
same opportunity as active employees to make changes during the
District's annual Open Enrollment in January/February.
Each benefit will have the same benefit termination date.
Please review the information below:
Medical Insurance - Medical insurance will end
the last day of the full pay period following
termination (ie. last day 2/18/10,
coverage extended to 3/15/10).
Dental, Vision and Cancer Insurance
- Dental Insurance
will end the last day of the full pay period following
termination of either on 15th or last day of the month.
Disability Insurance
-
The
Disability Insurance is one benefit that you can not
continue through COBRA. The coverage will end the last
day of employment. However, if an employee currently
has an existing disability claim for which he/she is
receiving disability benefits, then the disability benefits
will continue until the benefit period ends or when he/she
is no longer considered disabled (whichever comes first).
Life Insurance - The Life
Insurance will end the last day of the full pay
period following termination.
Flexible Spending Accounts - Please contact Donna
Erhardt in Insurance & Benefits at 337-8318 or
click here to send
Donna an email.
How Much
Will COBRA Premiums Cost
$
Under federal law, there is a two percent (2%)
surcharge in addition to the benefit premiums. The monthly
premiums listed below contain the additional two percent (2%).
If COBRA coverage is cancelled for non-payment or is voluntarily
cancelled, it can never be reinstated.
Medical (effective
March, 2009)
| |
Plan 903 |
Plan 706 |
Plan 118 |
HMO 10 |
| Single Only |
$ 672.18 |
$ 541.62 |
$ 403.92 |
$ 524.28 |
| Single/Spouse |
$ 1,541.22 |
$ 1,227.06 |
$ 906.78 |
$ 1,179.12 |
| Single/Child |
$ 1,035.30 |
$ 824.16 |
$ 609.96 |
$ 791.52 |
| Single/Children |
$ 1,443.30 |
$ 1,148.52 |
$ 850.68 |
$ 1,103.64 |
| Single/Family |
$ 1,935.96 |
$1,541.22 |
$ 1,140.36 |
$ 1,481.04 |
Medical (effective March, 2010)
| |
Plan 903 |
Plan 706 |
Plan 118 |
HMO 10 |
| Single Only |
$ 1,008.78 |
$ 623.22 |
$ 499.80 |
$ 602.82 |
| Single/Spouse |
$ 2,312.34 |
$ 1,410.66 |
$ 1,422.00 |
$1,355.58 |
| Single/Child |
$ 1,553.46 |
$ 947.58 |
$ 754.80 |
$ 909.84 |
| Single/Children |
$ 2,165.46 |
$ 1,320.90 |
$ 1,052.64 |
$1,268.88 |
| Single/Family |
$ 2,903.94 |
$1,772.76 |
$ 1,410.66 |
$ 1,703.40 |
Dental
| |
Delta Care DHMO |
Delta Dental PPO/Indemnity |
| Single Only |
$
21.01 |
$ 35.70 |
| Single/Spouse |
$
36.11 |
$ 67.94 |
| Single/Child(ren) |
$
36.21 |
$ 60.39 |
| Single/Family |
$
51.31 |
$ 99.76 |
Vision
| Single Only |
$ 5.10 |
| Single/Spouse |
$ 10.41 |
| Single/Child(ren) |
$ 10.20 |
| Single/Family |
$ 18.87 |
Cancer
(Cancer insurance is portable which means you may
continue the coverage by paying the same premium as an active
employee for as long as you wish.)
| |
Hartford |
AIG |
| Single |
$ 28.14 |
$ 15.70 |
| Single/Family |
$ 58.16 |
$ 32.58 |
Life Insurance -
Life insurance can be converted to an
individual policy (a whole life insurance product) by contacting
Minnesota Life Insurance Company at 1-866-293-6047
within 30 days of the date your group insurance terminates.
Flexible Spending Accounts
(FSA) - Although flexible spending
accounts (medical reimbursement only) qualify as group health
care plans under COBRA, as a practical manner, former employees
do not choose to elect such benefits. After termination of
employment, the former employee receives no further income from
the employer, and would not be of any tax advantage from the
pre-tax payments that are under an FSA. For additional
information and account balance, please contact Donna Ernhardt,
Flexible Benefits Specialist, in Insurance & Benefits at
337-8318 or
click here to send Donna an
email.
If you have any questions or concerns, please
do not hesitate to contact Insurance & Benefits at 239-337-8321.

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