Get Cobra Continuation Coverage Election Form

The first one-year period ended February 28, 2021 but was subsequently renewed for additional one-year periods in 2021 and 2022. The President announced that in 2023, the National Emergency would be renewed only until May 11, 2023.

When does COBRA continuation coverage start. COBRA is always effective the day after your active coverage ends. For most, active coverage terminates at the end of a month and COBRA is effective on the first day of the next month.

COBRA allows a 30-day grace period. If your premium payment is not received within the 30-day grace period, your coverage will automatically be terminated without advance warning.

You have 60 days to enroll in COBRA once your employer-sponsored benefits end. Even if your enrollment is delayed, you will be covered by COBRA starting the day your prior coverage ended. You will receive a notice from your employer with information about deadlines for enrollment.

COBRA law requires that notices must be furnished to covered individuals. The preferred method of delivery is First Class Mail. Proof of receipt is not required if mailed to the last known address. Departments must maintain a copy of each notice sent, along with logging the recipient's name, address, and date mailed.

Once COBRA is elected, the enrollee has 45 calendar days from the date of election to pay all retroactive premiums to the plan or its designee. The retroactive premium payment is the premium to cover the period from the date of loss of coverage to the date of election.

This notice has important information about your right to continue your health care coverage in the [enter name of group health plan] (the Plan), as well as other health coverage options that may be available to you, including coverage through the Health Insurance Marketplace at .HealthCare.gov or call 1-800-318- ...