Indiana Acknowledgment of Receipt of COBRA Notice

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Multi-State
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US-502EM
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This Employment & Human Resources form covers the needs of employers of all sizes.

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FAQ

Coverage with COBRA The COBRA plan offers health coverage to a terminated employee for a maximum of 18 months, sometimes less depending on how you qualify for the plan, and the family of an employee for up to 36 months, offering the same benefits as the initial group health care policy.

Legally, if your employer is subject to COBRA requirements, they must notify the organization's group health plan administrator within 30 days of your last day with your employer. At that point, the plan administrator then has 14 days to notify the former employee of their COBRA rights.

COBRA is a federal law about health insurance. If you lose or leave your job, COBRA lets you keep your existing employer-based coverage for at least the next 18 months. Your existing healthcare plan will now cost you more. Under COBRA, you pay the whole premium including the share your former employer used to pay.

The Federal Consolidated Omnibus Budget Reconciliation Act (COBRA) requires the state of Indiana to offer covered employees and eligible family members the opportunity for a temporary extension of health coverage at group rates when coverage under the health plan would otherwise end.

Key Takeaways. COBRA provides a good option for keeping your employer-sponsored health plan for a while after you leave your job. Although, the cost can be high. Make an informed choice by looking at all your options during the 60-day enrollment period, and don't focus on the premium alone.

In addition, employers can provide COBRA notices electronically (via email, text message, or through a website) during the Outbreak Period, if they reasonably believe that plan participants and beneficiaries have access to these electronic mediums.

Employers should send notices by first-class mail, obtain a certificate of mailing from the post office, and keep a log of letters sent. Certified mailing should be avoided, as a returned receipt with no delivery acceptance signature proves the participant did not receive the required notice.

COBRA is not an insurance company. COBRA is simply the continuation of the same coverage you had through a previous employer. To get proof of insurance, you would need to contact the COBRA Administrator at your previous employer. Typically, the COBRA Administrator is in the HR department.

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Indiana Acknowledgment of Receipt of COBRA Notice