New Jersey Qualifying Event Notice Information for Employer to Plan Administrator

State:
Multi-State
Control #:
US-AHI-006
Format:
Word
Instant download

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

In general: Employers in New Jersey with 50 or more employees must provide minimum essential health care coverage for employees who work 30 or more hours per week or must pay an annual penalty; Businesses in the Garden State with two to 50 employees are not required to offer health care coverage to their employees.

The New Jersey State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) offer employees and their covered dependents the opportunity to join a Direct Primary Care doctor's office at no additional cost.

School Employees' Health Benefits Program Active Group Eligibility. Eligibility for Active Group coverage is determined by the School Employees' Health Benefits Program (SEHBP). All enrollments, changes to coverage, terminations, etc. must go through your employer. Full-time Employees.

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.

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.

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.

Members enrolled in the State Health Benefits Program (SHBP) or School Employees' Health Benefits Program (SEHBP) can call 1-800-414-SHBP (7427) to access the nurse line and Horizon Health Guide services. Q.

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.

The federal Consolidated Omnibus Budget Rec- onciliation Act of 1985 (COBRA) requires that most employers sponsoring group health plans offer employees and their eligible dependents also known under COBRA as qualified beneficia- ries the opportunity to temporarily extend their group health coverage in certain

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

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New Jersey Qualifying Event Notice Information for Employer to Plan Administrator