Massachusetts Qualifying Event Notice Information for Employer to Plan Administrator

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Multi-State
Control #:
US-AHI-006
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Description

This AHI form is a Notice to Plan Administrator of Qualifying Event for COBRA Coverage.

How to fill out Qualifying Event Notice Information For Employer To Plan Administrator?

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FAQ

Second qualifying events may include the death of the covered employee, divorce or legal separation from the covered employee, the covered employee becoming entitled to Medicare benefits (under Part A, Part B or both), or a dependent child ceasing to be eligible for coverage as a dependent under the group health plan.

For disabled QBs who receive an 11-month COBRA extension (29 months in total), you can charge up to 150% of the group rate. Many states have regulations that are similar to federal COBRA. These state regulations are known as mini-COBRA.

Losing COBRA Benefits Here's the good news: Rolling off of COBRA coverage is a qualifying event that opens a special enrollment period for you to purchase your own health coverage. And you'll have more options, flexibility and control of your health plan outside of COBRA with an individual health insurance plan.

Massachusetts law requires you to have health insurance. To avoid a state tax penalty, adults 18 or older must have what the Massachusetts considers "minimum creditable coverage (MCC)" or prove eligibility for an exemption. The rule applies even if you are not required to pay state taxes.

COBRA Qualifying Event Notice The employer must notify the plan if the qualifying event is: Termination or reduction in hours of employment of the covered employee, 2022 Death of the covered employee, 2022 Covered employee becoming entitled to Medicare, or 2022 Employer bankruptcy.

The following are qualifying events: the death of the covered employee; a covered employee's termination of employment or reduction of the hours of employment; the covered employee becoming entitled to Medicare; divorce or legal separation from the covered employee; or a dependent child ceasing to be a dependent under

Under the ACA, employers must offer health insurance that is affordable and provides minimum value to 95% of their full-time employees and their children up to age 26, or be subject to penalties. This is known as the employer mandate.

EMPLOYER REQUIREMENTS UNDER MASSACHUSETTS LAWCurrent Massachusetts law requires employers with 11 or more full-time equivalent employees (FTE) to make a fair and reasonable contribution to their employees' health insurance or pay a Fair Share Contribution (FSC) of up to $295 per employee per year to the state.

COBRA is a federal law and is not enforced by the Division of Insurance. Mini-COBRA is a state law and is enforced by the Division of Insurance. COBRA generally applies to group health plans offered by employers with 20 or more employees.

When the qualifying event is the covered employee's termination of employment or reduction in hours of employment, qualified beneficiaries are entitled to 18 months of continuation coverage.

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Massachusetts Qualifying Event Notice Information for Employer to Plan Administrator