Benefits Administration Manual

Consolidated Omnibus Budget Reconciliation Act (COBRA)

418. Loss of COBRA Continuation Coverage

COBRA continuation coverage will cease for a COBRA enrollee if one of the events listed below occurs prior to the expiration of the 18 or 36 month COBRA period. The State does not offer any type of conversion plan after the 18 or 36 month COBRA coverage period expires. The enrollee should contact the plan directly for information about an individual conversion plan.

• Employer ceases to provide group coverage plans;
• Failure to pay timely required premiums;
• A qualified beneficiary becomes covered under another employer's plan that does not contain any exclusion or limitation with respect to any preexisting health condition;
• A qualified beneficiary extended continuation coverage to 29 months due to a Social Security approved disability and a final determination has been made that the qualified beneficiary is no longer disabled;
• A qualified beneficiary notifies the plan they wish to cancel continuation coverage;
• A qualified beneficiary becomes covered under Medicare while enrolled in continuation coverage; or
• For cause, on the same basis that the plan terminates the coverage of similarly situated non-COBRA participants.

Note: All termination of COBRA coverage notices will be provided by the plan.

Updated February 14, 2011 at 3:55 PM.