Insurance · General

What does 'COBRA' allow?

Correct answer

Eligible employees (and dependents) to CONTINUE their group health coverage for a limited time after losing it due to certain qualifying events (like job loss), usually by paying the full premium themselves

  1. A A new type of HMO
  2. B Eligible employees (and dependents) to CONTINUE their group health coverage for a limited time after losing it due to certain qualifying events (like job loss), usually by paying the full premium themselves
  3. C Free lifetime health coverage
  4. D Coverage only for retirees

Why this is the answer

COBRA (Consolidated Omnibus Budget Reconciliation Act): Allows eligible employees and their dependents to CONTINUE their employer-sponsored GROUP HEALTH COVERAGE for a LIMITED TIME after they would otherwise lose it due to a QUALIFYING EVENT. QUALIFYING EVENTS: Job loss (voluntary or involuntary, except gross misconduct); reduction in hours; divorce/legal separation; death of the covered employee; loss of dependent status; DURATION: Typically up to 18 months (sometimes 29 or 36 months depending on the event); COST: The individual usually pays the FULL premium (both the employee and former employer portions) plus a small administrative fee (up to 102%) — so it's expensive but maintains continuity; APPLIES to: employers with 20+ employees (smaller employers may have state 'mini-COBRA'); PURPOSE: Prevents gaps in coverage during transitions; ALTERNATIVE: ACA marketplace (job loss is a qualifying event for special enrollment); understanding COBRA (temporary continuation of group coverage after qualifying events, at the individual's full cost) is important health insurance exam content.
Source: Health Insurance — COBRA Continuation

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