Continuation Coverage Form With Decimals
Description
How to fill out COBRA Continuation Coverage Election Form?
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FAQ
In that case, COBRA lasts for eighteen months. If the qualifying event is the death of the covered employee, divorce or legal separation of the covered employee from the covered employee's spouse, or the covered employee becoming entitled to Medicare, COBRA for the spouse or dependent child lasts for 36 months.
If you have COBRA and you're eligible for Medicare, COBRA may only pay a small portion of your medical costs, and you may have to pay most of the costs yourself. Contact your COBRA plan and ask what percent they pay. To avoid unexpected medical bills, you may need to sign up for Medicare right away.
If your employer contributes $400 per month, the total cost of your job-based plan is $650 per month. To calculate your total monthly COBRA premium, add a 2% service charge to the $650 for a grand total of $663 per month. Here's a sample calculation: Your contribution: $125 per paycheck X 2 = $250 per month.
In addition, a COBRA carrier may be able to bill you for any benefits paid by mistake when Medicare should have paid first. If you're already on COBRA when you become eligible for Medicare, you will lose your COBRA benefits and none of this applies to you.
COBRA is Retroactive. When you receive your COBRA letter, you have 60 days to submit the paperwork with your insurance company. However, no matter when you submit the paperwork during this time, you are covered retroactively from day 1. The catch: you will also be responsible for all premiums from day 1.