New Hampshire Health Insurance Continuation Options

New Hampshire follows the federal COBRA law, which allows eligible individuals to continue their employer-sponsored health insurance after a qualifying event such as job loss, reduced hours, or divorce.
In addition, the state offers its own Mini-COBRA law for employees of small businesses with fewer than 20 employees, providing similar continuation rights for those not covered under federal COBRA.
New Hampshire State Continuation Coverage (Mini-COBRA)
New Hampshire's State Continuation Coverage, commonly referred to as Mini-COBRA, allows eligible individuals to continue their group health insurance after experiencing certain qualifying events. This law applies to fully insured group health plans, regardless of the employer's size, and offers protections similar to federal COBRA.
- Employer Size: Applies to employers of any size offering fully insured group health plans.
- Eligibility: Employees and dependents who were enrolled in the group plan at the time of the qualifying event.
- Qualifying Events: Includes job loss, reduction in hours, divorce, legal separation, loss of dependent status, death of the covered employee, and bankruptcy (in some cases).
- Coverage Duration: Up to 18 months for most individuals; up to 36 months for certain dependents. If the group plan ends entirely, continuation must be offered for 39 weeks.
- Premium Payment: Individuals pay the full premium amount, plus a 2% administrative fee.
- Election Period: Must elect coverage within 60 days of the qualifying event or notice of eligibility, whichever is later.
- How to Apply: Request continuation coverage through your employer or plan administrator within the election window; they are required to provide written notice of your rights and instructions.
COBRA Costs an Average of $491 per Month in New Hampshire
In New Hampshire, 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 New Hampshire
The New Hampshire 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 New Hampshire
Alternative Low Cost Medical Plans in New Hampshire
Continuing an employer plan in New Hampshire with Mini-COBRA is around $491/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 New Hampshire
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 New Hampshire Mini-COBRA
In New Hampshire 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
- Missouri
- Montana
- Nebraska
- Nevada
- 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

