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COBRA Health Insurance Gross Misconduct

Posted on: October 26th, 2011 by Cobra Insurance Guide

Question Gross MisconductMany people know that COBRA health insurance is an option if you are laid off from your job or quit your job, but what if you were fired?  Well in most cases that probably depends on what you were fired for.  Under the federal COBRA insurance laws, employees are entitled to COBRA insurance under the qualifying event if they lost their job for any reason that isn’t gross misconduct.  So what is gross misconduct.  According to the courts, gross misconduct is :  Acts of gross misconduct are intentional, wanton, willful, deliberate, reckless, or in deliberate indifference to an employer’s interest.  They do not have to be criminal acts and can actually happen in the workplace or away from the workplace.  Some examples from court cases that have involved gross misconduct and COBRA insurance are:

  • Hitting another employee on the job
  • Misappropriating funds
  • Sexual misconduct
  • Repeatedly not performing the job as instructed
  • Theft of any kind

With that said, according to the Department of Labor’s website, “Generally, it can be assumed that being fired for most ordinary reasons, such as excessive absences or generally poor performance, does not amount to “gross misconduct.” ”

If you are fired and your employer is not entitling you to COBRA insurance due to gross misconduct, you should receive a Notice of Unavailability of COBRA Coverage that explains why you are not eligible.  You will be able to appeal that notice if you do not agree with the terms that it lays out.

COBRA Insurance and Adding Dependents

Posted on: October 17th, 2011 by Cobra Insurance Guide

Signing up for and enrolling in COBRA insurance allows you to keep the exact same health insurance plan you had with your employer at full cost.  Since the plan is the same, in most cases you can add a dependent, like a child, when there is a qualifying event.  So if you adopt a child, have a child, or even get married to someone with a child, those children can be added to your COBRA plan.  However, if you previously has a child and you didn’t include them on your health insurance plan it may be difficult to add them to COBRA insurance plans.  You will have to check with your health insurance provider to find out.

Adding dependents other than children is difficult with most plans with or without COBRA insurance.  Such dependents could be adults or other older relatives.  Since insurance costs are generally high for such individuals, adding them to COBRA insurance or any other plan is usually difficult and you must meet certain caregiver and income requirements.

COBRA Life Insurance

Posted on: October 12th, 2011 by Cobra Insurance Guide

MagnifierA constant question we receive in our inbox is whether or not COBRA insurance extends to life insurance policies.  Unfortunately, the federal COBRA insurance law does not extend to life insurance policies which means that you must sign up for your own life insurance policy after losing or quitting your job.  Having life insurance is important and ensure that your family will be protected if anything happens to you.

When you are looking for life insurance policies, you will want to consider cost, coverage, and plan benefits, just like you would with any insurance plan.  You also want to see how the plan will age with you and how benefits change with age.

COBRA Student Health Insurance

Posted on: October 10th, 2011 by Cobra Insurance Guide

Keeping health insurance coverage while you are a student can be difficult, especially if you are over 26 years old and do not qualify to stay covered with your parent’s health insurance plan.  However, you do have options for health insurance while you are a student.

1.  Check for University Health Insurance Plans:  Many universities offer health insurance plans for students to use while they are attending the university.  Many times these plans are affordable because there are many students on the health plan.  Check with your university to learn about the plans and costs.

2.  COBRA Insurance with your Parent’s Plan:  Many students are now aware that they can sign up to continue their health insurance plan with COBRA for up to 36 months once they become ineligible for their parent’s plan.  With COBRA, you can keep that plan for up to 36 months, at the full cost of the premium.

3.  Short Term Insurance Coverage:  If you believe you will get a job with health insurance upon graduation, short term health insurance for the duration of your schooling, may be the most affordable option.  The coverage will be limited but will cover emergencies in most cases.

4.  Private Health Insurance Plan:  Your last option is to look for a health insurance plan from a private company.   Always get multiple quotes and compare lots of plans when doing this to make sure you get the best price for your money.

Can I get COBRA Insurance if I Get Divorced or Separated?

Posted on: October 7th, 2011 by Cobra Insurance Guide

Woman reading paperMany people think that COBRA insurance is only for someone who recently lost or quit their job, however COBRA health insurance actually extends to a much larger group of people who lost their health insurance coverage for a myriad of reasons.  One of those reasons under the COBRA insurance laws is legal divorce or separation.

If you recently become divorced or separated, and your former partner works at a company with a qualifying plan, in most circumstances you will be eligible for COBRA insurance coverage.  Not only will you be eligible, in most cases, you will be able to continue your care for up to 36 months.

To sign up for COBRA insurance due to divorce or separation, contact your group health insurance plan and make sure to get a COBRA election form.  Then simply complete it and send it in within 60 days of the date on the form.  You will be responsible for paying the entire premium monthly to keep your health insurance coverage.

COBRA Insurance and Disability

Posted on: October 3rd, 2011 by Cobra Insurance Guide

Stethoscope and PenWe have received lots of questions about how COBRA insurance and disability work together.  Basically there are a few key factors that are important to know when thinking about COBRA insurance and disability.  First, under HIPAA (the Health Insurance Portability and Accountability Act), there is a possibility to extend COBRA insurance benefits for an additional 11 months if you become disabled.  However, this disability has to happen within the first 60 days of COBRA insurance coverage.  This will increase the total COBRA term length to 29 months. Additionally, under HIPAA, both you and anyone else covered on your COBRA health insurance plan can extend coverage for that 11 months.  That means your spouse, children, and any other dependents will also be able to stay on COBRA for 29 months.

If you believe you qualify under HIPAA for this COBRA insurance with disability extension, you should contact your plan administrator as soon as possible.  This must be no later than 30 days after the law no longer qualifies you as disabled.


Small Business Owners: Tip for Choosing Health Insurance

Posted on: September 26th, 2011 by Cobra Insurance Guide

Nurse and computerQuitting your job and deciding to open your own small business can be a very exciting time for many.  Although many people who follow this path can elect to have COBRA health insurance for the first 18 months, many are faced with a difficult health insurance decision when COBRA ends.  If you are someone in this position, follow these 5 tips to choose the best health insurance for you.

1.  Understand your Health Insurance Options:  The most important thing to starting any health insurance search is understanding your options in full.  Make sure to explore both private and government sponsored programs.  There is a good chance that you may qualify for a state run program.  In addition explore comprehensive coverage as well as high deductible and short term coverage.  Note down all the options, their prices, and the coverage.  Then think through each based on your health needs and budget.

2.  Consider Affiliating Yourself with a Group: Many organizations offer the benefits of group health insurance without needing an employer offered plan.  Look into alumni organizations, industry organizations, and more to find out what group health insurance they offer.  It may be cheaper than going out on your on.

3.  Shop Around to Understand Different Plans:  It is always important to look at multiple plans and the easiest way to do so is through online sites with simple forms to complete.  The most popular are eHealthInsurance, HealthPlanOne and InsureMonkey.  You can also use governmental and state sites to explore trusted plans.

4.  Factor in the Health Insurance Tax Deduction: When you are self employed you are allowed to deduct your health insurance costs from your income.  This is considered an above the line deduction.

5.  Get Quotes for Multiple Plans:  Finally, get quotes and consider multiple scenarios using those quotes.  Imagine the cost if you needed to visit the doctor, get a prescription medication, etc.  Cost out each option to understand the full cost of choosing that insurance plan.

How to Find Health Insurance When COBRA Runs Out?

Posted on: September 22nd, 2011 by Cobra Insurance Guide

Nurse and PatientA reader recently wrote to us wondering what he should do when his COBRA insurance runs out.  Him and his wife have been on COBRA insurance for the last 17 months and have about 30 days to make a plan for when their insurance stops.  They are both in their fifties and they have a daughter for is 24 who is also on their health insurance plan with COBRA.

Many people find themselves in this situation and making a decision about what avenue to pursue can be a difficult one. The major sticking point for this family is whether or not anyone in their family has serious medical needs or a preexisting condition.  If so, a comprehensive private plan is probably the only way to go for those with preexisting conditions.  They will likely need to apply to multiple providers to find a health insurance plan who accepts them and that they can afford.

If no one in the family has a major medical need or preexisting condition, there are more options.  For a comprehensive plan, a private insurance provider will still be the way to go.  However, they could also consider short term, catastrophic, and indemnity plans that are much cheaper.  These plans however are very limited and often have very strict guidelines for what is covered.

COBRA Insurance Subsidies Come To An End

Posted on: September 20th, 2011 by Cobra Insurance Guide

FamilyDue to the economic recession and the large amount of people who found themselves unemployed, the government passed laws to create a COBRA insurance subsidy for people who needed COBRA insurance but were not able to afford the expensive premium.  This COBRA insurance subsidy paid 65% of the premium for anyone on COBRA who was unemployed and met certain conditions.  The government renewed this subsidy three times to extend its length and continue to assist people.

Unfortunately, this subsidy came to an end on August 30, 2011 which means that no one is eligible to receive assistance paying for their COBRA insurance benefits any longer.  If you are considering COBRA insurance but worried about the cost it is smart to look at alternatives to COBRA insurance and also get quotes from independent companies to compare rates and health insurance plans.

 

 

How to Qualify for 36 Months of COBRA Insurance

Posted on: July 22nd, 2011 by Cobra Insurance Guide

DoctorAlthough for most people COBRA insurance coverage will only last 18 months, there  are some situations where COBRA health insurance can actually extend beyond the typical 18 months.  Knowing what these circumstances are can save you and your family from having to switch insurers or experiencing a lapse in health insurance coverage.

1.  A Second Qualifying Event:  Under the federal COBRA insurance laws, there are certain events, known as a Secondary Qualifying Event” that will extend COBRA insurance coverage for an additional 18 months to 36 months in total.  The downside to this law is that it almost only extends to dependents and spouses and not to the former employee.  If the formerly covered employee becomes entitled to Medicare, becomes divorced or separated from a spouse covered on the COBRA plan, or the formerly covered employee dies, their dependents/spouses are able to have health insurance under COBRA insurance plans.  Also if a dependent child covered under COBRA loses their dependent status, they can qualify for an additional 18 months of COBRA health insurance coverage.

2.  State Sponsored COBRA Insurance:  Many states offer their own COBRA insurance programs normally known as mini COBRA plans.  In some states, these plans offer an additional 18 months of coverage to eligible state recipients and their dependents.  Learn if your state offers state sponsored COBRA insurance here.

As always, before you decide to extend your COBRA insurance coverage for an additional 18 months you should always consider alternatives to make sure you have the right coverage at the right price.

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