New COBRA Requirements

February 19th, 2009 | By Paul Cherner

The American Recovery and Reinvestment Act of 2009 (a/k/a “the stimulus plan”) contains several provisions intended to assist unemployed workers maintain their health insurance coverage pursuant to their COBRA rights.  Essentially, the law provides that unemployed workers will only have to pay 35% of the cost of their COBRA coverage, with the remaining 65% to be subsidized by the federal government.  This subsidy can last for a period of up to 9 months, unless certain specified events shorten the time period.

These provisions apply to almost all unemployed workers who are involuntarily terminated between September 1, 2008 and December 31, 2009.  A “second chance” is provided to those individuals who were terminated during that time period but may have declined COBRA.  These workers are allowed 60 days after receiving a new notice of these enhanced rights to decide to take COBRA coverage at the subsidized rate.  It is very important that these workers receive a detailed “enhanced notice” about their rights under this new law as soon as possible.  The Secretary of Labor is directed to issue a model enhanced notice by March 19, 2009 and employers must send an enhanced notice by April 18, 2009.  All COBRA notices issued after February 17, 2009 must also include an explanation of the rights granted under this new law.

Employees who previously elected COBRA, if eligible for this subsidy, will be entitled to reimbursement or a credit for the 65% of COBRA premiums that they may pay for the period beginning February 17, 2009.  High income individuals are not eligible for this subsidy.

There are many additional details included in these provisions and the Secretary of Labor will also be issuing regulations to further define these rights and obligations and the procedures to follow.  Employers should consult with legal counsel or a knowledgable COBRA administrator as to how to proceed to implement these new requirements.

Pursuant to IRS requirements, you are hereby informed that this information is not intended to be tax advice that should be relied upon for purposes of avoiding taxes and/or penalties.