Understanding COBRA Insurance in Missouri

Missouri state flag

Missouri’s Mini-COBRA law allows employees of small businesses to continue their group health insurance after a qualifying event, such as job loss or reduced hours. Unlike federal COBRA, which applies to employers with 20 or more employees, Missouri’s law covers those with 2 to 19 employees.

Missouri Mini-COBRA Law

Missouri's Mini-COBRA law provides continuation of group health coverage to eligible employees and their dependents who have lost coverage due to a qualifying event. This law applies to employers with fewer than 20 employees and mandates that they offer continuation coverage similar to federal COBRA provisions.

  • Employer Size: Applies to employers with fewer than 20 employees.
  • Eligibility: Employees must have been covered under the group health plan at the time of the qualifying event.
  • Qualifying Events: Includes termination of employment (other than for gross misconduct), reduction in hours, divorce or legal separation, death of the covered employee, or a dependent child ceasing to be a dependent under the plan.
  • Coverage Duration: Continuation coverage is available for up to 9 months.
  • Premium Payment: Individuals electing continuation coverage are responsible for paying the full premium amount.
  • Election Period: Eligible individuals must elect continuation coverage within 31 days of the qualifying event.

COBRA Continuation Costs $742/mo on average in Missouri

In Missouri, if you choose to continue your work health insurance you will be responsible for the full premium, including the portion previously paid by your employer.

Applying for Mini-COBRA in Missouri

The Missouri Continuation Law may allow you to keep your employer-sponsored health insurance if your employer has 20 or more fewer full-time workers participating in the company health plan.

To continue your work health plan, you will need to apply through your employer or a third-party administrator responsible for managing COBRA benefits.

Alternative Low Cost Medical Plans in Missouri

Continuing an employer plan in Missouri with Mini-COBRA is around $742/mo, per individual. If COBRA is unavailable or is outside of your budget, you do have affordable other options for health coverage. See below:

The cost of health insurance is determined by your age and state of residency.

Basic Health Solution
Virtual Doctor Visits, Prescription Savings
Access Teladoc telehealth, prescription savings, and identity theft protection.
Great for Pre-Existing Conditions
Affordable Care Act
Similar to work health insurance. Marketplace plans may include subsidies to significantly reduce your cost.
New Illness or Injury Coverage
Short-Term Medical
Covers unexpected illnesses or injuries.
Compare plans starting at $80/mo
Accident-Only Insurance
Up to $1 Million Coverage
Covers accidental injuries and includes Teladoc. Starting at $40/mo.
Limited Indemnity
Fixed-Benefit Plan
Pays fixed benefits for covered medical events. Includes Teladoc.
Telehealth Only
$19.95 per month
Physicians available for common issues and prescription refills.
Vision Insurance
Nationwide Network
Annual exams, frame or contact allowances, nationwide provider network.
Dental Insurance
PPO Access
Access 471,000 PPO points. Covers 300-plus dental procedures nationwide.

Affordable Care Act for Pre-Existing Conditions Missouri

Like employer-sponsored group health plans, all Affordable Care Act (ACA) marketplace plans are required to cover pre-existing conditions without exception. These plans also include a comprehensive set of essential health benefits, which means they must cover doctor visits, hospital care, emergency services, surgeries, maternity and newborn care, mental health treatment, and prescription medications. This ensures that individuals and families receive broad, reliable coverage regardless of their health history.

Get an ACA Health Plan Quote

Budget-Friendly Health Coverage Solutions to Missouri Mini-COBRA

In Missouri you can bridge a gap using one of the following plans: