North Carolina Notice of Qualifying Event from Employer to Plan Administrator

State:
Multi-State
Control #:
US-AHI-005
Format:
Word; 
Rich Text
Instant download

Description

This AHI memo serveS as notice to the employer regarding (Name of Employee, Account Number) and the qualified beneficiaries under (his/her) account.

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FAQ

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,

In North Carolina, companies with 50 or more full-time employees must provide health insurance coverage. Businesses in North Carolina that have 50+ full-time employees are considered applicable large employers, which means they may face penalties if they fail to offer health benefits.

Federal COBRA Continuation law applies to employer groups covering 20 and more employees. This law generally allows eligible enrollees the right to continue under the employer group health plan for up to 18 months. The continuation period can be extended beyond the 18-month period in some situations.

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

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.

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.

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.

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.

North Carolina allows employees and eligible spouses and dependents who would otherwise lose group health insurance coverage due to certain events to continue coverage under the current employer's group policy (including employers with fewer than 20 employees) for up to 18 months.

North Carolina law and the federal Consolidated Omnibus Budget Reconciliation Act (COBRA) require that employees be offered the right to continue their group health coverage if they leave the group for certain specified reasons.

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North Carolina Notice of Qualifying Event from Employer to Plan Administrator