DPA - Benefits - Benefits Administration Manual - Section 400: Consolidated Omnibus Budget Reconciliation Act (COBRA)

	Department of Personnel Administration
	Benefits Administration Manual
	Section 400 401. 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 Navigation Table of Contents	Consolidated Omnibus Budget Reconciliation Act (COBRA) 416. Open Enrollment Period COBRA enrollees have the same rights as active employees to make allowable changes to their coverage during the annual open enrollment period. This information is communicated in the Initial and Election notices. Specific instructions will be sent to all COBRA enrollees by DPA prior to the beginning of the open enrollment period. The effective date of any action during open enrollment is January 1, of the following year. Note: If covered active employees add a spouse, domestic partner, and/or dependent children to their coverage during an open enrollment period, the Personnel Office is required to provide an Initial General COBRA Notice to the newly covered spouse or domestic partner. Keep in mind that notification to the covered spouse or domestic partner is deemed notification to the covered dependent children (if any).