New Hampshire Health Insurance Continuation Options

New Hampshire state flag

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.

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.

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.
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 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 Quote

Budget-Friendly Health Coverage Solutions to New Hampshire Mini-COBRA

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