How does it work?

Our full-service COBRA administration allows you to concentrate on your active employees without worrying about managing the open enrollment, premium billing, or carrier eligibility for your COBRA population. By providing our industry expertise and timely administration and pairing it with industry leading software, we’ve created an ideal solution for COBRA administration.

If your employee loses benefit eligibility either by employment termination, retirement, reduction in hours, or any other COBRA qualifying event, that employee becomes entitled to a continuation of benefits through COBRA. Within 45 days after the employee’s loss of coverage, the employee will receive a notice outlining their rights to COBRA continuation and their COBRA election notice allowing them to select the coverage(s) that they’d like to continue. The COBRA election notice will include all of the dates, deadlines, and rules for making an election. Using that information, the employee is able to make an election online or submit their election using the paper form included.

Who is eligible to continue coverage through COBRA?

Employees, covered spouses or covered children all have rights to continue coverage under the COBRA continuation coverage rules. Each individual in the employee’s family is considered a qualified beneficiary. A qualified beneficiary is any individual who has experienced a loss in coverage and has an independent right to elect COBRA continuation coverage. This means that they can pick and choose between the available COBRA plans or decline COBRA continuation coverage in its entirety.

Features

We offer a full-service solution that can handle every aspect of COBRA administration. Using the COBRAPoint™ system by Benaissance, the industry-leader in COBRA administration software, we deliver our clients a complete outsourcing solution that includes the following services:

  • Carrier notifications for reinstatement / loss of coverage
  • All COBRA letters (General notice, QE notice, rate change letter, etc.)
  • Premium remittance to client or carrier with premium payment reports
  • Premium collection and tracking with partial premium payment rules
  • Open enrollment services including carrier forms, rate tables, etc.

What types of reports are accessible?

The COBRAPoint™ System allows the employer to runs numerous reports, including, but not limited to:

  • Qualified Beneficiary Plan Member Summaries
  • Paid Through Reports
  • Remittance Reports

Interested in learning more?

Contact our sales team at 425.452.3498 or sales@naviabenefits.com

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For Qualified Beneficiaries

COBRA
Continue your terminated group insurance coverage

How does it work?

If you lose benefit eligibility either by employment termination, retirement, reduction in hours, or any other COBRA qualifying event, you become entitled to a continuation of your benefit through COBRA. Within 45 days after your loss of coverage, you’ll receive a notice outlining your rights to COBRA continuation and your COBRA election notice allowing you to select the coverage(s) that you’d like to continue. Your COBRA election notice will include all of the dates, deadlines, and rules for making an election. Using that information, you’re able to make an election online or submit your election using the paper form included.

Who is eligible to continue coverage through COBRA?

Employees, covered spouses or covered children all have rights to continue coverage under the COBRA continuation coverage rules. Each individual in your family is considered a qualified beneficiary. A qualified beneficiary is any individual who has experienced a loss in coverage and has an independent right to elect COBRA continuation coverage. This means that they can pick and choose between the available COBRA plans or decline COBRA continuation coverage in its entirety.

How long can my coverage last?

If you elect for COBRA continuation, the maximum amount of time that you can remain covered varies depending on the Qualifying Event. The standard length of coverage for most individuals is 18 months. Some states have longer lengths of coverage and each employer’s plan may provide longer periods of coverage beyond this range. Your specific coverage time-frame will be outlined in your specific rights notice.

How do I make payments?

If you are choosing to elect COBRA coverage, you will receive payment coupons to submit with a check to pay for your COBRA premiums each month. Payments can also be made online for an additional fee. You can also make payments through ACH direct debit.

When can I make changes to my coverage?

You can only make changes to your COBRA coverage during your insurance plans open enrollment period or with a qualifying event. However, if you would like to cancel your COBRA coverage, you can do so at any time. Once you’ve cancelled your COBRA coverage, you cannot reinstate that coverage.

What are COBRA qualifying events?

Qualifying events are events that cause an individual to lose their benefit coverage. The type of qualifying event will determine who the qualified beneficiaries are and the amount of time that a plan must offer the health coverage to them under COBRA. A plan, at its discretion, may provide longer periods of continuation coverage.

Qualifying Events for Employees include:

  • Voluntary or involuntary termination of employment for reasons other than gross misconduct
  • Reduction in hours of employment

Qualifying Events for Spouses and Dependent Children include:

  • Voluntary or involuntary termination of the covered employee’s employment for any reason other than gross misconduct
  • Reduction in hours worked by the covered employee
  • Covered employees becoming entitled to Medicare
  • Divorce or legal separation from the covered employee
  • Death of the covered employee
  • Loss of dependent child status under the plan rules (Dependent Children Only)

Still have questions?

Contact our COBRA team at 1-877-920-9675 or cobra@naviabenefits.com