Posts Tagged ‘subsidy’

Department of Labor Finally Releases the New Model COBRA Notices

Thursday, January 14th, 2010

Several weeks after the COBRA subsidy extension, the DOL has just released new model COBRA notices for employers to use, which can be accessed here.  There are three new model notices in total: the Updated General Notice, the Premium Assistance Extension Notice and the Updated Alternative Notice.

The Updated General Notice:

  • Includes updated information on the subsidy and information required in a COBRA election notice.
  • Must be provided to all qualified beneficiaries, not just covered employees, who have not been provided an election notice and who experience a qualifying event between September 1, 2008 through February 28, 2010, regardless of the type of qualifying event.
  • Must be provided to individuals who experienced a qualifying event that was a termination of employment in December 2009 and who were not eligible for COBRA until January 2010.  As these individuals were likely not provided proper notice, in addition to receiving the Updated General Notice, they must also be given a full 60 days from the date the updated notice is provided to make a COBRA election.

Premium Assistance Election Notice:

  • Includes information about the Department of Defense Appropriation Act of 2010’s (DODAA) amendments to the American Recovery and Reinvestment Act (ARRA).
  • Requires plan administrators to provide this notice to certain individuals who have already been provided a COBRA election notice, but were provided with one that did not include information regarding the DODAA’s amendments to the ARRA.
  • This notice must be provided to individuals who were “assistance eligible” as of October 31, 2009 (unless they are in a transition period as set forth below), and individuals who experienced a termination of employment on or after October 31, 2009 and lost health coverage (unless they were already provided a timely, updated General Notice).  Such notice must be provided by February 17, 2010.
  • Individuals who are in a “transition period” must be given this notice within 60 days of the first day of the transition period.  A “transition period” is defined as the period that begins immediately after the end of the maximum number of months (generally nine) of premium reduction available under the ARRA before it was amended.  An individual is in a transition period only if the premium reduction provisions would continue to apply due to the extension from nine to 15 months and they otherwise remain eligible for the premium reduction.
  • Special note:  To some extent, there is overlap with regard to individuals who are “assistance eligible” and who are in a “transition period.”   This creates a situation where an individual may be entitled to multiple notices.  Providing the Premium Assistance Extension Notice by the earliest date required will satisfy the notice requirement(s).

Updated Alternative Notice:

  • Insurance issuers providing group health insurance must send the Updated Alternative to persons who became eligible for continuation coverage under a state law.

COBRA Subsidy Extended by Two Months

Tuesday, December 22nd, 2009

The 2010 Defense Appropriations Act, which President Obama just signed into law on December 19, 2009, has extended the eligibility date for the COBRA subsidy by two months until February 28, 2010. Under the American Recovery and Reinvestment Act of 2009, the eligibility period for the subsidy was slated to end on December 31, 2009.

In addition to extending the eligibility date, the Act also lengthens the COBRA subsidy period from 9 months to 15 months. This means that former employees who are currently receiving the COBRA subsidy are eligible to have it continue. This also means that former employees who had reached the end of the reduced premium period before the legislation extended it to 15 months will have additional time to pay the reduced premiums related to the extension. In order to continue their coverage, they must pay the 35% premium costs by 60 days after enactment or, if later, 30 days after notice of the extension is provided by the plan administrator.

The Act also provides that eligibility for COBRA does not need to occur by February 28, 2010 in order for the former employee to be eligible for the subsidy; rather, the qualifying event that makes the former employee eligible for the subsidy (i.e., termination) must occur by February 28, 2010.

Further, the Act creates new notice requirements. Per the Department of Labor’s press release on December 21, which can be accessed here, new sample notices, updated guidance and frequently asked questions will be available on DOL’s COBRA website. Unfortunately, that information has not been posted yet, but hopefully will soon be available at www.dol.gov/ebsa/cobra.

In the meantime, employers should begin taking stock of:

  • their former employees who are currently receiving the subsidy as they will need to be notified that the subsidy period has been lengthened;
  • their former employees who were receiving the subsidy until the nine months of eligibility expired as they will need to be notified that they now can continue COBRA; and
  • any employees who were eligible for COBRA but were not going to receive a subsidy before the eligibility period expired.