Qualifying Event |
Beneficiary |
Maximum Coverage Period |
---|---|---|
Termination of employment or reduction of hours |
Employee, spouse, dependent children |
18 months (or 29 months with disability extension) |
Divorce or legal separation |
Spouse, dependent children |
36 months |
Loss of dependent child status |
Dependent child |
36 months |
Employee entitled to Medicare |
Spouse, dependent children |
36 months |
Death of covered employee |
Spouse, dependent children |
36 months |
You must provide prompt notice to Human Resources with a Notice of Change to Benefits form (DOC). You and/or your dependents will only be eligible for COBRA if you provide notice within the specified timeframes.
Monthly COBRA premiums vary depending on the plan(s) elected and the individual(s) covered. Click on your Bargaining Unit / Group below for current COBRA rates:
Call your Human Resources Representative
Refer to An Employee's Guide to Health Benefits Under COBRA.