How will I and my qualified beneficiaries be notified of my COBRA rights?
The City has contracted with a Third Party Administrator (TPA) to administer the COBRA provisions and provide notification within the time frames specified by the federal law and to perform the accounts receivable functions for qualified beneficiaries who elect continuation. The City provides the TPA with information pertaining to new enrollees and employees losing group coverage due to termination of employment and other known qualifying events
What is COBRA?
COBRA is the federal law which requires most group health plans, including Healthcare Flexible Spending Accounts, to give employees, and their covered dependents, "qualified beneficiaries" the opportunity to continue their group health benefits when there is a "qualifying event.” Qualifying events include (but not limited to) termination of employment, retirement, divorce, death, etc. which would result in a loss of coverage under an employer's plan. Continuation coverage for each qualified beneficiary must be the identical coverage that the plan offers to active employees and covered dependents.
The employee or family member must provide written notice to Benefits within 60 days of the event, when a covered spouse loses eligibility due to divorce or a dependent child loses eligibility. The City extends a COBRA-like continuation of coverage option to domestic partners and their dependents who lose eligibility for group benefits.
The law specifies the time frames within which qualified beneficiaries must be notified, allowed to elect continuation coverage and make payments. The cost to qualified beneficiaries may not exceed 102% of the premium equivalent cost of insurance for the active group.
Where may I obtain more information on COBRA?
Check the Benefits Outsource, Inc. (BOI) posting on the Benefits webpage or contact the City's COBRA Administrator, Benefits Outsource, Inc. (BOI) at 954-680-7626.