Notice of Qualifying Event from Employer to Plan Administrator
Description Qualifying Employer Template
How to fill out Employer Administrator?
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Plan Administrator Form Other Form Names
Plan Administrator Application FAQ
A qualifying event is an event that triggers a special enrollment period for an individual or family to purchase health insurance outside of the regular annual open enrollment period.
Employers should send notices by first-class mail, obtain a certificate of mailing from the post office, and keep a log of letters sent. Certified mailing should be avoided, as a returned receipt with no delivery acceptance signature proves the participant did not receive the required notice.
Reduction of Hours The reduction of hours is a qualifying event for a covered employee, spouse, and dependent children if it causes them to lose coverage and is not accompanied by an immediate termination.
Since losing COBRA coverage early is not a qualifying event, you would not be eligible to sign up for coverage through the Exchange. (If your COBRA runs out after the normal period, which is typically 18 or 36 months, you should be eligible for a Special Enrollment and could sign up for coverage through the Exchange).
Notices properly mailed are generally considered provided on the date sent, regardless of whether they're actually received. 1. COBRA Initial Notice must be provided. Within 30 days after the employee first becomes enrolled in the group health plan.
You must have an event that qualifies you for COBRA coverage. COBRA must cover your group health plan. You must be a beneficiary that is qualified for the specific event.
Plans must give each qualified beneficiary at least 60 days to choose whether or not to elect COBRA coverage, beginning from the date the election notice is provided, or the date the qualified beneficiary would otherwise lose coverage under the group health plan due to the qualifying event, whichever is later.
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 (Consolidated Omnibus Budget Reconciliation Act of 1985) is a federal law that requires employers of 20 or more employees who offer health care benefits to offer the option of continuing this coverage to individuals who would otherwise lose their benefits due to termination of employment, reduction in hours or
