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The 60-day loophole for COBRA allows individuals to apply for coverage retroactively if they miss the initial deadline. This loophole provides a grace period, enabling you to secure health insurance after a qualifying event, even if you do not enroll immediately. Understanding the Michigan Notice of Qualifying Event from Employer to Plan Administrator is crucial, as it outlines your rights and the timeline to respond.
What is state continuation? State law allows employees of smaller employers (fewer than 20 employees) to keep the same group health insurance coverage for up to nine months after loss of a job or loss of coverage because of a reduction in work hours. This is called state continuation.
The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss,
Although many states also require continued coverage in many situations, Michigan does not. In Michigan, employees' continuation rights are covered solely by federal law. An event that causes an employee's spouse or dependent to cease to be a qualified family member under the group policy.
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
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.
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.
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.
Although many states also require continued coverage in many situations, Michigan does not. In Michigan, employees' continuation rights are covered solely by federal law. An event that causes an employee's spouse or dependent to cease to be a qualified family member under the group policy.
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.