Do Small Business Owners Qualify For COBRA?
We are a small business and were just dropped by Horizon Blue Cross Blue Shield of New Jersey. The reason is that we spend more than 50% of our time outside of the state. Can we qualify for COBRA coverage?
Unfortunately, you will are not eligible for COBRA because the federal law specifies that the insurance provided be a continuation of an employer’s group health policy. You will need to find new individual health coverage through a private marketplace or healthcare.gov.
Eligible Events For COBRA
These are the events that would qualify an employee for COBRA coverage.
Qualifying Events For Employees
- Voluntary or involuntary termination of employment (unless due to gross misconduct)
- Your working hours have been reduced
Qualifying Events For Dependents
- Death of employee
- Divorce or legal separation
- Loss of dependent status (turning age 26)
- Employee is entitled to Medicare benefits
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COBRA Eligibility
COBRA Third-Party Administrators
Your COBRA plan may be managed by a third-party administrator. Many employers work with the following:
- ADP COBRA
- BASIC COBRA
- BAS' COBRA Control Services
- BenefitConnect EHR
- BenefitSolver COBRA
- Burnham & Flower
- BRI COBRA (Benefits Resource)
- bswift COBRA
- COBRAPoint Benaissance
- Employee Benefits Corp (EBC)
- Lifetime Benefit Solutions
- Navia Benefit Solutions
- Optum Financial
- Paychex
- Payflex
- Paycom COBRA
- PlanSource
- Total Administrative Service Corporation (TASC)
- WageWorks / Conexis
- WEX (formerly Discovery Benefits)
If you are unsure who your plan administrator is, reach out to the human resources department of the company that provided the health insurance you had.
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