The Consolidated Omnibus Budget Reconciliation Act of 1985, more commonly referred to as COBRA, is a federal law which is designed to ensure that an individual can continue to receive health insurance coverage for a period of up to 18 months following the termination of his employment. Most, but not all, companies that offer group health insurance schemes to their employees are subject to COBRA. In some circumstances coverage under COBRA can be extended from 18 months up to a maximum of 36 months.
COBRA protects individuals from losing their health insurance benefits when they lose their employment and is a temporary measure that is designed to help people through this potentially difficult time This said, not every employee who loses his employment will qualify for COBRA but employers should be conversant with the law and be able to advise their employees accordingly.
The law permits a terminated employee to purchase health insurance for himself and his family (provided the family were covered during employment) at the group coverage rate even though the employee is technically no longer a part of the group. The cost however can be high as the employee will now need to pay 100% of the cost each month, together with a surcharge of 2%.
Although most often thought of in terms of termination, COBRA can also come into effect in the event of a change of employment status such as reduced hours, or divorce from an employee of eligible status. Cover will normally continue for the time specified in the act or a shorter period if the employee takes out individual health insurance or is covered by another group health insurance plan.
Because COBRA extends a terminated employees health insurance for a period of 18 months, terminated employees do not need to worry about a change in their health insurance benefits. Coverage under COBRA insurance remains exactly the same as that provided during employment and the only change is in the responsibility for the payment of monthly premiums. It should be noted however that it is possible for the benefits under COBRA to change if an employer changes the health insurance plan being offered to current employees during the period of cover.
The important thing to remember about COBRA is that it is designed to be a temporary measure and, while that guarantees health insurance coverage for a period of up to 18 months, once this period expires you will find yourself without health insurance unless you make alternative arrangements or are covered by a group scheme from a new employer.
One of the dangers of COBRA insurance lies in the very fact that it is temporary. If, for example, you should fall ill while covered by COBRA you may find it difficult, or indeed impossible, to get future health insurance if this illness is subsequently classed as pre-existing and is ‘uninsurable’, as might be the case if you were to develop cancer.
By: Donald Saunders
Posts Tagged ‘Budget Reconciliation Act’
Health Insurance – Understanding The Benefits Of COBRA
January 19th, 2010Affordable Health Insurance in Houston, Texas
January 14th, 2010
Houston, Texas provides many things to many people. Museums, fairs, marathons, festivals – you name it, and Houston, Texas has it. Not only can you find fun, but you can also find safety. How? Residents are able to find affordable health insurance in Houston, Texas, too.
Fortunately, Texans have several options when searching for affordable health insurance in Houston, Texas. Try following these steps.
Continue your health insurance with COBRA. If you are a Houston, Texas resident who has lost his job, COBRA (otherwise known as the Consolidated Omnibus Budget Reconciliation Act of 1986) should be the first alternative you consider. Under COBRA, Houston, Texas residents can remain covered by their former employer-sponsored health insurance for up to 18 months after they have lost their jobs.
Not covered under COBRA? Texas has certain health insurance continuation rights for those residents who are either not eligible for COBRA, or who have maxed out their time being covered under COBRA. The health insurance continuation rights allow you to stay covered under the same health insurance policy for another six months.
Exhausted your COBRA benefits and state continuation rights? Perhaps it is time to look at the Texas Health Insurance Risk Pool. If you have reached your limit of COBRA benefits as well as your health insurance state continuation rights, you may be eligible for the Texas Health Insurance Risk Pool. Of course, you must have maintained some form of health insurance for the previous 18 months, and no break in coverage can be longer than periods of 63 days.
Feeling too financially stressed for any of the above options? Look into the TexCare Partnership, which offers affordable health insurance to Texans based on family size and income.
For more information about these ways to obtain affordable health insurance in Houston, Texas, contact the Texas Department of Insurance. You may even find that you are eligible for other means of affordable health insurance, too.
By: Elizabeth Newberry
Health Insurance For People Over 50
January 13th, 2010
For anyone between 50 and 65 years who will be looking for some health cover or is already looking, you could be in need of a lot of help. This age is crucial in that many of the body’s systems are just about ready to start failing plunging you into serious health challenges. Using statistics (a tool used extensively to create the product structures) insurance companies know that the expenditure on health for the 20 to 45 year-old group will be a lot less than for the 50 to 65 year-old group. Therefore, the premiums for older persons are higher.
Do not despair, as we are smart we will be sure to find a way. Let us look at some options available.
For those who are still working and may be looking at starting a business or going to retire, there are a few areas worthy of your investigating. Does the company you work for allow you to buy insurance through their plan? For early retirement, if the company allows, they may be able to subsidize a portion of the premiums. If there is no subsidy, you may still be entitled to group rates which are less than for individuals. If you spouse will remain in employment seriously look at joining their plan if this is possible.
Another option is COBRA or Consolidate Omnibus Budget Reconciliation ACT, for those still in employment that gives health insurance cover. Former employees and their families can continue the cover for up to a year and a half. COBRA is also guaranteed. You can not be turned down even for chronic illnesses. The downside is the cost. During your employment the employer normally meets 70% of the premium. Own your own you will cover the full premium and administration costs on top. A 1997 survey showed that on average a retired employee would pay $1,008 for family cover and $373 for the individual health cover.
Even if you are not in employment, there are some options open for you. For those with pre-existing conditions like high blood pressure or diabetes who fail to get insurance, coverage is still available through the states’ high-risk program especially set up to help this group of people. Like COBRA, the premiums are quite high.
You should also check professional organizations that you could join or already a member of or are affiliated to see if the membership offers health insurance cover. As this is a group cover, your premiums will be low.
Lastly, the health insurance scheme for individuals. There are now very good offerings in this area as providers believe the 50-65 age group has potential for growth. These individuals also have a fair income and are in good health. Companies believe that even when the oldies become eligible for Medicare, they will still opt for supplemental cover. Some of these options have monthly premiums as low as $200 for individuals in fair health, but carry high deductibles. Some advisors recommend combining opening health savings accounts (HSA) when taking out a cover with high deductibles. HSA contributions are not taxed, nor are any withdrawals made towards qualified medical expenses and the balance at year end can be rolled over to the next year.
By: Jack Adams