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Ensuring COBRA Doesn't Take A Bite Out Of Your Wallet

If you lose your job in Dallas, one of out of luck. Many states have adopted
the many questions you'll have is: "Will their own laws, sometimes known as
I lose my health coverage, too?" If "mini-COBRA," that often grant broader
you're an employee at a company that has rights in determining coverage
20 or more employees, and you leave your eligibility.
group plan for reasons other than gross If your employer has more than 20
negligence, then you'll be offered COBRA workers, but doesn't offer health
continuation coverage. coverage, or offers coverage only to
This federal law, known as COBRA certain groups of employees and you're
(Consolidated Omnibus Budget not one of them, you won't be eligible
Reconciliation Act of 1985), fills that for COBRA even if one of the qualifying
important gap for health insurance plans events occurs. That ineligibility will
for qualified workers, their spouses, and include your spouse or children.
their dependent children so their health Additionally, if your former employer
insurance does not have to stop when they changes its health insurance plan for its
leave their job. current employees, you are entitled to
Under COBRA, if you voluntarily resign or receive benefits under the new plan,
are terminated for any reason other than although the benefits may change. If your
"gross misconduct," you are guaranteed employer switches plans, you won't be
the right to continue your former able to keep the old plan.
employer's group plan for individual or And if your former employer offers
family health insurance for up to 18 separate health insurance plans (dental,
months at your own expense. In most medical, and vision, for example), you
cases, spouses and dependent children are and each of your qualified family members
also eligible for COBRA coverage, for may choose to continue any combination
sometimes up to three years. However, under COBRA. However, if your employer
individual plans - plans you purchase on sponsors one plan with multiple health
your own, rather than through work or an insurance benefits, you must each elect
association - are not subject to COBRA all the benefits or nothing.
laws, and once you lose that coverage, But eligibility isn't the only issue to
you won't be able to get an extension consider when it comes to COBRA. Cost is
under COBRA. a major consideration, too. If you have
If offered, should you elect the COBRA no pre-existing conditions and decide
continuation coverage option? If you or against COBRA, you should consider buying
your family has major health issues, then individual insurance or even a short-term
yes. If you and your family are major medical policy to tide you over
relatively healthy, then it's wise to until you land a new job with health
compare individual health insurance benefits.
plans, as individual rates are likely to The following health plans are subject to
be half the cost of a comparable COBRA COBRA:
group health insurance premium or even Medical plans.
less. Dental, vision, and prescription drug
Group health coverage for COBRA plans.
participants is usually more expensive Drug and alcohol treatment programs.
than health coverage for active employees Employee Assistance Plans, known as EAPs,
because the employer usually pays a part which provide medical care such as
of the premium for active employees, counseling or psychological treatment.
while COBRA participants generally pay On-site health care, including discount
the entire premium themselves. or free medical services.
In addition, keep in mind that one major Section 125 spending arrangements, also
difference between individual and group known as cafeteria plans, under certain
health plans is maternity coverage. With circumstances.
individual health plans, that coverage, The following benefits are not subject to
if offered at all, is extra, while most COBRA:
group plans include maternity coverage. Wellness programs.
So, if you need maternity coverage, you Life, disability, and long term care
should compare COBRA rates with the rates insurance plans, and medical savings
offered through an individual plan with accounts.
maternity coverage. EAPs that do not provide medical care.
If you forgo COBRA, any of your qualified If you become unemployed, and even if
family members may elect to continue your employer offers COBRA, you should
their health insurance benefits under also take a look at the revolutionary
your former employer's plan. And your comprehensive individual health insurance
spouse or any of your children may enroll solutions created by Precedent
in COBRA independent of your COBRA specifically for young, healthy
election decision. individuals. The cost difference between
Even if you work at a small company (20 COBRA and an individual policy might be
employees or fewer) that is exempt from the deciding factor.
federal law, you might not be completely




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