Understanding COBRA Insurance in Missouri

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.
Helpful Resources in Missouri
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.
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 QuoteBudget-Friendly Health Coverage Solutions to Missouri Mini-COBRA
In Missouri you can bridge a gap using one of the following plans:
Health Continuation Laws by State
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming

