COBRA COVID-19 Updates
Impacts on COBRA
March 12, 2021
American Rescue Plan Act
On Thursday, March 11, 2021, the President signed the American Rescue Plan Act (the 'Act') which includes continuation coverage premium assistance for certain individuals and their families receiving COBRA due to an involuntary termination of employment or a reduction of hours. The Act also includes a temporary change to Dependent Care Flexible Spending Accounts (DCFSAs).
Our teams are currently reviewing the guidance to determine the impacts to both our clients and members. Based on this review, the team will determine next steps, so our clients and members have a solid course of action.
Covid-19 | Member Resource
COBRA Update
The Consolidated Omnibus Budget Reconciliation Act (COBRA) mandates that certain employers provide opportunities to elect continuation of health insurance for certain employees and their families after a loss of coverage due to a job loss or other qualifying events.
The Department of Labor (DOL) recently released guidance to provide relief for certain COBRA deadlines during the COVID-19 Outbreak Period. Certain COBRA deadlines are suspended from March 1, 2020 until 60 days after the national emergency ends (official date yet to be determined). Learn more about COBRA and the recent guidance at HealthEquity.com/stay-covered.
What does this mean for you?
Employees (or former employees) must generally pay the full amount of the insurance premiums and, if applicable, an administrative fee
Qualifying events can include:
- Voluntary and involuntary job loss
- Reduction in work hours
- Death of the employee
- Loss of dependent status
- Divorce or legal separation of employee and their spouse
- Employee becomes entitled to Medicare
Your employer (or former employer) is responsible for providing:
- Notifications
- Billing
- Payment collection
- Typically, your employer will work with a COBRA provider (such as us) to handle the required tasks.
Frequently Asked Questions
There have been a lot of changes during this past month as the nation deals with COVID-19. This list will hopefully help you find the answers you need regarding your health accounts and the recent changes.
Have more questions? Contact us.
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What is the Outbreak Period?
The Department of Labor (DOL), the DOL Employee Benefits Security Administration, and the Department of the Treasury (the “Agencies”) recently released guidance to provide relief for certain COBRA deadlines during the COVID-19 Outbreak Period. These deadlines are disregarded from March 1, 2020 until 60 days after the national emergency ends (official date yet to be determined).
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Can I have an extension to elect COBRA or pay my premium?
Yes, as of March 1, 2020 and throughout the “Outbreak Period”, deadlines are disregarded. As a reminder, these extensions do not apply to deadlines ending prior to March 1, 2020. For example, the following deadline expirations would still apply:
Cancellations for non-payment of the January 2020 premium (deadline date: January 31, 2020);
COBRA elections that must be made on or before February 29, 2020 (deadline date: 60 days from the date the notice was first mailed or loss of coverage date, whichever is later)
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My original COBRA election and/or premium payment deadline is during the Outbreak Period, so what is my new deadline?
We will not know the exact date until the federal government declares the COVID-19 national emergency has ended. Any days during the “Outbreak Period” are disregarded.
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Will I still have COBRA coverage while my payments are pending?
While you cannot be denied from receiving treatment, you may be expected to pay out-of-pocket and then file for reimbursement once your premium payment is made. It is not clear whether an insurer may decide to suspend coverage until you pay the COBRA premium and then reinstate your coverage once your back-premium(s) for those periods are made.
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My loss of coverage was not related to COVID-19, am I still eligible for the deadline relief?
The current guidance does not specify eligibility requirements for qualified beneficiaries to receive this relief.
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Can I use health savings account (HSA) funds to pay my COBRA premiums?
Yes, you can use HSA funds to pay COBRA premiums. Transaction fees may apply.
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I just enrolled in company benefits, so why did I receive a COBRA
letter?
Employers are required by law to provide the COBRA General Rights Notice to you and all individuals enrolled in the company’s health plan. This requirement informs you of your rights under COBRA law and explains how you can enroll in COBRA if needed. The notice does not require any action from you.
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How much time do I have to elect COBRA coverage once I become
eligible?
You have 60 days to elect COBRA coverage, from the date the notice was first mailed or loss of coverage date, whichever is later. You also have 45 days from the date you enrolled in COBRA to pay the first premium. These deadlines are disregarded from March 1, 2020 until the end of the Outbreak Period.
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Will my dependents added during Open Enrollment (OE) be eligible for these
timeframe and deadline date extensions?
Dependents added to your COBRA coverage during OE will receive the same payment deadline extensions as you, the qualified beneficiary. However, such dependents would not be qualified beneficiaries for purposes of eligibility for Social Security disability or multiple qualifying event extension deadlines irrespective of the DOL relief.
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Will my new plans added during Open Enrollment (OE) be eligible for the
extension?
The guidelines don’t exclude plans added during OE so they should be eligible.
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Will my Open Enrollment (OE) election be processed if my initial COBRA
Election Form is not received?
No, we will send written notification that there is no COBRA election on file. You will be required to make a COBRA election before any OE for subsequent plan years can be processed. Also, be advised that both an election of COBRA coverage for the current plan year and payment of all prior coverage periods must be made before coverage will be effective with the insurer(s) for the subsequent plan year. In other words, you, the qualified beneficiary, still in the original COBRA election period, cannot effectively have continuation coverage applied prospectively.
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