COBRA requires a chain of notices. The plan sends a general notice when coverage begins. The employer or the qualified beneficiary tells the plan when a qualifying event happens. The plan then sends an election notice, or a notice that COBRA is unavailable. If coverage ends before its maximum period, the plan sends a notice of early termination. Each notice has its own sender, recipient, and deadline, and a missed link anywhere in the chain means the next notice goes out late.
|
Notice |
From → To |
Deadline |
|
General (initial) notice |
Plan administrator → covered employee and spouse |
Within 90 days after plan coverage begins |
|
Employer notice of qualifying event |
Employer → plan administrator |
Within 30 days of termination, reduction in hours, death, or Medicare entitlement |
|
Qualified beneficiary notice of qualifying event |
Employee or family member → plan administrator |
Within 60 days of divorce, legal separation, or a child losing dependent status |
|
Election notice |
Plan administrator → each qualified beneficiary |
Within 14 days after the administrator is notified (44 days after the event when the employer is the administrator) |
|
Notice of unavailability |
Plan administrator → individual who asked |
Within the same period as an election notice |
|
Disability extension notice |
Qualified beneficiary → plan administrator |
Within 60 days of the Social Security disability determination and before the 18 months end |
|
Notice of early termination |
Plan administrator → qualified beneficiary |
As soon as practicable after deciding coverage will end early |
The general notice introduces COBRA rights before anyone needs them. It goes to each employee and spouse who becomes covered under the plan, within 90 days after their coverage begins. One notice addressed to both is enough if they live at the same address and the spouse's coverage began at the same time.
It must explain:
The Department of Labor publishes a model general notice. Using it, with the blanks filled in correctly, is the simplest way to cover the content rules.
From the employer. The employer must notify the plan administrator within 30 days after termination (other than for gross misconduct), reduction in hours, death, or Medicare entitlement. When a TPA is the administrator, this is the notice that gets lost most often. See common COBRA administration mistakes.
From the qualified beneficiary. For divorce, legal separation, or a child ceasing to be a dependent, the employee or family member must notify the plan within 60 days. The plan may set reasonable procedures, such as a form or required information. Those procedures must be described in the general notice and the summary plan description. If a plan never tells people about the procedures, it generally can't enforce them.
Beneficiaries must also give notice of a second qualifying event during an 18-month period, which can extend a spouse's or child's coverage to 36 months.
This is the core COBRA notice. The administrator has 14 days after receiving notice of a qualifying event to send it. When the employer is also the administrator, it has 44 days from the event, or from the loss of coverage if the plan measures from that date.
The election notice must include:
The DOL also publishes a model election notice. Send it to every qualified beneficiary. Address a separate notice to a spouse or dependent known to live elsewhere.
When the administrator receives a notice of a qualifying event, a second qualifying event, or a disability determination, and decides the individual isn't entitled to COBRA or to the extension, it must say so in writing and explain why. The deadline is the same as for an election notice. Plans often skip this notice when they reject a late divorce notice or a request from someone who was never covered. That leaves the individual without a clear answer and leaves the plan without evidence that it decided anything.
A qualified beneficiary found disabled by the Social Security Administration at any time during the first 60 days of COBRA can extend coverage from 18 to 29 months. To get the extension, they must notify the plan within 60 days of the determination and before the original 18 months end. If Social Security later determines the person is no longer disabled, the beneficiary must notify the plan within 30 days.
If coverage ends before the maximum period, for example because premiums weren't paid or the beneficiary gained other group coverage, the administrator must send a notice as soon as practicable after deciding to end coverage. The notice gives the reason, the termination date, and any rights to other coverage, such as a conversion option. The permitted reasons and how to handle them are covered in early termination of COBRA coverage.
COBRA requires delivery by a method reasonably calculated to reach the individual. First-class mail to the last known address is the standard method. Certified mail isn't required, and a certified letter that goes unclaimed can leave you worse off than a first-class mailing with a proper log.
What matters is proof. Keep:
Electronic delivery is possible only when the DOL's electronic disclosure conditions are met.
No, but a model notice completed correctly is treated as good-faith compliance with the content requirements. A custom notice has to cover everything on its own.
A single notice may go to the employee and spouse at one address, as long as it names each beneficiary's rights. Anyone known to live elsewhere should get their own notice.
Send it now, and review whether any beneficiary missed a notice deadline because they didn't know about it. The plan may be unable to enforce that deadline.
The early termination notice is required only when coverage ends before the maximum. Many plans send an end-of-coverage letter anyway, which is good practice.
For the full workflow, see the COBRA administration process. To check whether the rules apply to you, see which employers are subject to COBRA. Notice drafting and delivery are covered in the COBRA training and certification program, and terms are defined in the COBRA glossary.
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