Today, you can access the health marketplace regardless of your medical history and at any time you have a so-called qualifying life event , or QLE. There are several QLEs that allow you to buy insurance in the marketplace:. If you experience a QLE, you are allowed special enrollment in the marketplace and can purchase a plan that fits your budget and needs.
Low- to middle-income enrollees often qualify for premium subsidies that can reduce their monthly premium cost to zero.
A new federal law allows for special enrollment in the marketplace starting in due to the loss of an employer subsidy for COBRA. In the past, when an employer provided a subsidy to cover some of the cost of the first few months of COBRA, the end of that subsidy was not considered a qualifying event. Today it is. In addition to individual marketplace plans, you can look for off-exchange plans that may be less costly than COBRA.
It is important to note, however, that premium subsidies only apply to marketplace plans, not off-exchange plans. If you are leaving a job, your employer will send you a notification advising you that you're eligible for COBRA and how much it will cost. During that time, you can compare prices on the health insurance marketplace.
If you decide to go this route, the special enrollment period continues for a full 60 days after you lose your job-based insurance even if you have already enrolled in COBRA. On the other hand, switching to a new plan may not be the best option. Choosing COBRA also means you don't have to worry about having a different provider network or covered drug list. This may be especially important if you have a chronic health condition or take medications on a higher drug price tier.
As with most things related to health insurance, there is no right or wrong answer. It all depends on your individual circumstances. COBRA is a provision of a federal law that allows you to continue your current job-based health insurance for a period of time if you lose or leave your job.
However, COBRA can be costly since your employer will no longer be contributing to your monthly premiums. COBRA insurance can also affect your income taxes, since your contribution will no longer be deducted from your paycheck pre-tax. If the cost of COBRA is unmanageable, you can often find lower-cost coverage on the health insurance marketplace enacted under the Affordable Care Act, and you may even be eligible for a premium subsidy to further reduce your monthly costs.
You can also speak with someone at the agency by calling If you're losing an employer-sponsored health plan that has worked well for you, it's reassuring to know that, in many cases, COBRA gives you the option to continue that plan for at least 18 months.
But since COBRA costs can be expensive, it's also good to understand what other options are available so that you can make the best choice for yourself and your family. If you need more information about the individual health insurance marketplace, you can call the hour hotline at Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life.
Department of Labor. Updated Published December Kaiser Family Foundation. Published October 8, Qualifying life event QLE. Premium tax credit. Department of Health and Human Services. If you meet the requirements, you can keep your insurance assuming you want to stick with the same health plan and benefits you received at your old job.
If you decided to leave your job, had your hours reduced, or got fired and lost health coverage, you qualify for COBRA continuation coverage. That rules out the possibility of enrolling if you had previously opted out of employer-based coverage. If you, your spouse and your children are covered under your workplace health plan, your whole family can get in on the COBRA action. But if you were the only person covered, then no one else in your family would qualify for COBRA—just you.
Whether you work for a big law firm in New York or a small public school in Nebraska, most employers who offer health care benefits are required to offer COBRA insurance to employees after they leave. There are some exceptions, though.
All of that changes when you leave, go part-time, or get the boot. We know those numbers sound steep and they are. Trust us, taking the temporary hit from COBRA premiums is way better than facing potential medical bankruptcy. The clock starts ticking when you lose coverage or hear from your employer. When that happens, you qualify for a special enrollment period and have 60 days to choose COBRA continuation coverage or a marketplace plan.
If you say "No thanks! No exceptions! Medical bills are the number one cause of bankruptcies in the U. Again, continuation coverage under COBRA is designed to be a temporary extension of the health insurance you had at your old job—the key word here is temporary.
Under special circumstances, you might be able to extend COBRA coverage to 29 or 36 months for you and your dependents. The due date for your first payment is defined as 45 days after you elect coverage.
However, if you make your payment within the day grace period, your COBRA coverage can be reinstated. After you make your first payment for continuation coverage, you will be required to make periodic payments for each subsequent coverage period. The amount due for each coverage period for each qualified beneficiary is shown in this notice. The periodic payments can be made on a monthly basis. Under the Plan, each of these periodic payments for continuation coverage is due on the first day of the month for that coverage period.
If you make a periodic payment on or before the first day of the coverage period to which it applies, your coverage under the Plan will continue for that coverage period without any break.
Although periodic payments are due on the dates shown above, you will be given a grace period of 30 days after the first day of the coverage period to make each periodic payment. Your continuation coverage will be provided for each coverage period as long as payment for that coverage period is made before the end of the grace period for that payment.
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