Washington COBRA Continuation Waiver Letter

State:
Multi-State
Control #:
US-AHI-004
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is a continuation waiver letter for the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA).

How to fill out COBRA Continuation Waiver Letter?

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FAQ

If you waive COBRA coverage during the election period, you must be permitted later to revoke your waiver of coverage and to elect continuation coverage as long as you do so during the election period. Then, the plan need only provide continuation coverage beginning on the date you revoke the waiver.

The general notice describes general COBRA rights and employee obligations. This notice must be provided to each covered employee and each covered spouse of an employee who becomes covered under the plan. The notice must be provided within the first 90 days of coverage under the group health plan.

Q3: Which employers are required to offer COBRA coverage? COBRA generally applies to all private-sector group health plans maintained by employers that had at least 20 employees on more than 50 percent of its typical business days in the previous calendar year.

COBRA Coverage PeriodsYou can cancel the COBRA coverage at any time within 18 months. You're not locked in. You will likely want to drop COBRA once you become eligible for a different health plan, such as if you get another job. If you stop paying premiums, COBRA coverage will end automatically.

Eligibility. You're eligible to continue your health coverage for up to 18 months if either of these occur: Your employment ends (unless it's due to gross misconduct)

If you want to avoid paying the COBRA cost, go with a short-term plan if you're waiting for approval on another health plan. Choose a Marketplace or independent plan for broader coverage. Choose a high-deductible plan to keep your costs low.

Instead, Assistance Eligible Individuals do not have to pay any of the COBRA premium for the period of coverage from April 1, 2021 through September 30, 2021. The premium is reimbursed directly to the employer, plan administrator, or insurance company through a COBRA premium assistance credit.

Q11: How long does COBRA coverage last? COBRA requires that continuation coverage extend from the date of the qualifying event for a limited period of 18 or 36 months.

You May Cancel COBRA At Any Time To cancel your your COBRA coverage you will need to notify your previous employer or the plan administrator in writing. After you stop your COBRA insurance, your former employer should send you a letter affirming termination of that health insurance.

Eligibility. You're eligible to continue your health coverage for up to 18 months if either of these occur: Your employment ends (unless it's due to gross misconduct)

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Washington COBRA Continuation Waiver Letter