Chaz
Mar 23 2009, 10:02 AM
Do the various notices going out to COBRA subsidy-eligible individuals have to specify the amount that the individuals have to pay for their coverage (i.e., do they have to give the 35% amount) or can they state the 102% and require the individuals to make the calculation themselves?
GMK
Mar 23 2009, 11:23 AM
Don't know if it's required, but ...
if you list the dollar amounts now, it may avoid some administrative disputes over pennies later.
oriecat
Mar 23 2009, 11:51 AM
I modified my COBRA rate chart to include both the full premium and the subsidized rate, with a note at the bottom saying that the subsidized rates apply only to qualified Assistance Eligible Individuals, for no more than 9 months. I certainly think it is a good idea to let them know, otherwise you risk either lots of miscalculated premium payments or lots of phone calls, both of which I prefer to avoid.
Chaz
Mar 23 2009, 12:38 PM
Well, the reason I ask is that a large, well-known COBRA administrator is apparently NOT including the 35% amount for its clients (at least the last I heard).
I agree that it makes sense to include the 35% amount from an administrative POV, but I was wondering if there is any legal requirement to do so as well.
oriecat
Mar 23 2009, 12:49 PM
Hmm. Well the COBRA notice regs say "(xi) A description of the amount, if any, that each qualified beneficiary will be required to pay for continuation coverage;" (29 CFR 2590.606-4(b)(4)(xi)) I would think this would still apply under the new notices, which would be why the DOL included both amounts in their models.
Chaz
Mar 23 2009, 03:03 PM
My thoughts EXACTLY.
Mona-Benefits1
Mar 23 2009, 04:13 PM
Does the Assistance Eligible Individual pay 35% of the 102% or 35% of the 100% full cost PLUS the 2% admin fee? Seems that the employer pays for 65% of the 100% only. Can we "assume" that the individual electing the coverage pays the full admin fee?
oriecat
Mar 23 2009, 05:56 PM
Nothing in any of the documents I have seen separates out "premium" vs "admin fee". It is all just "COBRA premium", which in my mind, at least, means the employer premium plus the 2%. And employees pay 35% of the COBRA premium.
Chaz
Mar 24 2009, 07:51 AM
There is guidance that the AEI pays 35% of the 102% total COBRA cost.
Chaz
Apr 7 2009, 03:05 PM
As a follow on to this, at least TWO large COBRA administrators are not providing the 35% amount in the extended election COBRA notices. One of them (at least) is not including the 35% amount in the general notices going forward (and are just sending the old version of the COBRA notice along with a subsidy "insert").
Is anyone else experiencing this with their or their clients' COBRA notices? If so, what, if anything, are you doing about it?
Thanks.
Chaz
Apr 9 2009, 11:37 AM
Has anyone faced this situation?
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