• 401. General Information
• 402. Qualified Beneficiary
• 403. Initial General COBRA Notice
• 404. COBRA Qualifying Events
• 405. Retiree Benefit Plan Alternate Coverage
• 406. Leaves of Absence
• 407. Loss of Group Coverage in Anticipation of a Qualifying Event
• 408. COBRA Election Notice and Election Form
• 409. COBRA Qualifying Event Notification Responsibilities
• 410. Notice of Unavailability of Continuation Coverage
• 411. Election Period
• 412. Length of COBRA Coverage
• 413. COBRA Premiums
• 414. Gross Misconduct
• 415. Noncompliance Penalties and Fines
• 416. Open Enrollment Period
• 417. COBRA in Retirement
• 418. Loss of COBRA Continuation Coverage
• 419. Completion of COBRA Enrollment Forms
• 420. Dental/Vision COBRA Premiums
• 421. Insurance Plan Addresses

• View all Section 400

  Attachments

• Attachment A - Initial General COBRA Notice
• Attachment B - COBRA Election Notice
• Attachment C - COBRA Continuation Election Form
• Attachment D - Notice of Unavailability of Continuation Coverage
• Attachment E - Initial COBRA Notice Log
• Attachment F - COBRA Election Notice Log
• Attachment G - Monthly COBRA Status Report
• Attachment H - COBRA Calendar

• Table of Contents

   

409. COBRA Qualifying Event Notification Responsibilities

Personnel Office

The Personnel Office has responsibility to ensure that covered employees, spouses, domestic partners, and dependent children (also known as “qualified beneficiaries”) are advised of their COBRA rights and responsibilities, provide required notices, and monitor timelines for COBRA elections and coverage continuation periods.

The Personnel Office should be aware of when a covered employee has died, voluntary or involuntary termination of employment, or reduction of hours. At the time that one of these qualifying events occurs, a COBRA Election Notice and Election Form must be provided to qualified beneficiaries within 14 days from the date of the qualifying event or loss of coverage.

Employee, Spouse, and Domestic Partner

The covered employee, spouse, and domestic partner has responsibility to notify the Personnel Office when a divorce, termination of domestic partnership, legal separation, or a child ceases to be a dependent occurs (e.g., child turns 23, child marries). At the time that one of these qualifying events occurs, the Personnel Office must receive notification within 60 days from the date of the qualifying event or the date on which coverage is lost. If notification is provided timely, then a COBRA Election Notice and Election Form must be provided to qualified beneficiaries within 14 days from the date of the qualifying event or loss of coverage. This notice is sent to qualified beneficiaries to explain their rights to elect COBRA continuation group coverage.

If notice to the Personnel Office, is not provided timely, then the department is not required to offer COBRA continuation coverage. You should refer to Section 407, "Notice of Unavailability of Continuation Coverage", regarding the required notice when continuation coverage will not be offered.

Note: Although it is the employees, spouses, and domestic partners responsibility to notify the Personnel Office when a child ceases to be a dependent, you may be aware that a COBRA qualifying event has occurred (e.g., child turns 23). If the Personnel Office is aware that a qualifying event has occurred, then a COBRA Election Notice and Election Form must be provided to the qualified beneficiaries.