Client Briefing - December 2009
COBRA Subsidy Extended Through February 28, 2010
By Patricia F. Weisberg
On December 19, 2009, Congress extended the eligibility period for the COBRA subsidy for an additional two months, through February 28, 2010, and the maximum time period for receiving the subsidy for an additional six months, from nine to 15 months. Individuals who reach the end of the reduced premium period before the legislation extended it to 15 months will have additional time to pay the reduced premiums related to the extension.
- The subsidy is now available to those who involuntarily lose through jobs through February 28, 2010. The prior legislation applied to those who lost their jobs beginning September 1, 2008 through December 31, 2009.
- The subsidy is now available for 15 months which means that the subsidy is available for an additional six months for those who lost the subsidy after nine months.
- Beneficiaries whose subsidies ran out and who did not continue COBRA because they did not want to pay the full premium, now have a second opportunity to go back and elect coverage.
- The legislation also makes it clear that an individual will be eligible for the subsidy provided the qualifying event that makes the individual eligible for the subsidy occurs on or before February 28, 2010. Prior to this legislation, there was some disagreement as to whether the determinative date was the date of the qualifying event or the date the employee lost coverage.
As before, only employees who have been involuntarily terminated from employment will be eligible for the subsidy. In addition, as before, the subsidy is not available for qualified beneficiaries who become eligible for coverage under another “group” health plan or Medicare.
What should employers do now?
- Employers are required to notify current COBRA beneficiaries and future beneficiaries of the new 15 month premium subsidy.
- Employers should immediately change COBRA election notices to incorporate the new legislation so that the notices reflect that the COBRA subsidy is available for 15 months and that it is available to individuals who have been involuntarily terminated from their employment beginning September 1, 2008 through February 28, 2010.
- Employers should advise current eligible beneficiaries who have elected the COBRA subsidy that eligibility has been extended from nine to 15 months. The notice must be issued within 60 days from the date the legislation was enacted (February 17, 2010) or 30 days after notice of the extension is provided by the plan administrator, whichever is later.
- Employers must provide notice to those individuals who did not elect to continue COBRA after their subsidy ended that they have the right to make retroactive premium payments. To continue their coverage, they must pay the 35% of premium cost by 60 days after the date of enactment (February 17, 2010) or, 30 days after notice of the extension is provided by the plan administrator, whichever is later.
Model notices and additional guidance from the Department of Labor is expected. Meanwhile, employers should contact counsel or plan administrators to make sure they are in compliance with the new legislation.
If you have any questions or concerns about the COBRA subsidy, you should consult with an attorney who is familiar with employment law. The Labor and Employment attorneys at Walter & Haverfield will be pleased to help. |