COBRA & Mini-COBRA: What Employers and Employees Need to Know about Federal and State Compliance

The Consolidated Omnibus Budget Reconciliation Act (COBRA) is a federal law that allows employees to continue group health coverage after a covered employee experiences a specific qualifying event, such as job loss. Yet, Federal COBRA only applies to employers with 20 or more employees, leaving employees of smaller businesses ineligible for continued coverage.

Fortunately, most states have their own mini-COBRA or Continuation Coverage laws which fill the regulatory void for smaller businesses with 20 or fewer employees. However, because these laws may impose more strict requirements, it is important for employers and employees to be familiar with both their state and federal continued coverage laws.

 The chart below is a general, non-exhaustive comparison of Mini-COBRA laws in New Jersey, New York, Ohio, Vermont, and Pennsylvania to the federal requirements.

Jurisdiction Size Covered Duration of Coverage Qualifying Event Election Period
Federal COBRA 20+ employees 18 months (job loss); 29 months (disability); 36 months (other events) Job loss, reduction in hours, divorce/legal separation, death of the covered employee, Medicare eligibility, dependent aging out 60 days to elect after notice of qualifying event
New Jersey 2–50 employees Up to 18 months (employees); up to 36 months (dependents in certain circumstances); 29 months (if disabled) Job loss, reduction in hours, death of the covered employee, divorce or legal separation, or a dependent child ceasing to be eligible under the plan. 30 days to elect from the qualifying event
New York Employers of all sizes Up to 36 months Job loss, reduction in hours, death of the covered employee, divorce or legal separation, or a dependent child ceasing to be eligible under the plan. 60 days to elect from qualifying event or notice of qualifying event (whichever is later)
Pennsylvania 2-19 Employees Up to 9 months Job loss, reduction in hours, death of the covered employee, divorce or legal separation, or a dependent child ceasing to be eligible under the plan. 30 days to elect after notification
Ohio Up to 20 employees Up to 12 months Involuntary termination without access to other coverage The earliest of:

·        31 days after previous coverage terminates.

·        10 days after your coverage terminates if previously notified of the right to continue coverage.

·        10 days after notice sent after termination date.

Vermont Up to 20 employees Up to 18 months Job loss, reduction in hours, death of the covered employee, divorce or legal separation, or a dependent child ceasing to be eligible under the plan. 60 days to elect after notification

 

(This blog, prepared by Campanella Law Office, is for general informational purposes only and is not intended to convey specific legal advice, nor is it intended to create or constitute an attorney-client relationship.)

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