Oklahoma Acknowledgment of Receipt of COBRA Notice

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State:
Multi-State
Control #:
US-502EM
Format:
Word
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Description

This Employment & Human Resources form covers the needs of employers of all sizes.

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How to fill out Acknowledgment Of Receipt Of COBRA Notice?

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FAQ

You may be able to keep your job-based health plan through COBRA continuation coverage. COBRA is a federal law that may let you pay to stay on your employee health insurance for a limited time after your job ends (usually 18 months). You pay the full premium yourself, plus a small administrative fee.

The initial notice, also referred to as the general notice, communicates general COBRA rights and obligations to each covered employee (and his or her spouse) who becomes covered under the group health plan.

Failure to pay premiums. When a participant fails to make a timely payment of any required COBRA premium, the employer may terminate COBRA coverage. Employers must provide participants with at least a 30-day grace period for payment of any late premiums.

There are several other scenarios that may explain why you received a COBRA continuation notice even if you've been in your current position for a long time: You may be enrolled in a new plan annually and, therefore, receive a notice each year. Your employer may have just begun offering a health insurance plan.

Otherwise, when the qualifying event is the end of employment or reduction of the employee's hours of employment, COBRA continuation coverage generally lasts for only up to a total of 18 months. There are two ways in which this 18-month period of COBRA continuation coverage can be extended.

Oklahoma requires limited continuation of healthcare plan coverage for employees whose employer is not covered by the federal Consolidated Omnibus Budget Reconciliation Act (COBRA) (OK Stat. Tit. 36 Sec. 4509).

COBRA is a federal law that lets you keep yourself and your family covered by your employee health plan. Coverage is only available for a limited time (often 18 months) after you leave your job or lose coverage through your employer. You pay the full monthly premium, including any amount that your employer had paid.

The COBRA Rights Notification Letter Template contains a model form of the letter that all employees must receive either from their employer or from the benefit plan administrator of their benefit plans.

If you need further information about COBRA, ACA, HIPAA, or ERISA, visit the Employee Benefits Security Administration's (EBSA) Website at dol.gov/ebsa/complianceassistance.html. Or you may contact EBSA electronically at askebsa.dol.gov or call toll free 1-866-444-3272.

On Average, The Monthly COBRA Premium Cost Is $400 700 Per Person. Continuing on an employer's major medical health plan with COBRA is expensive.

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Oklahoma Acknowledgment of Receipt of COBRA Notice