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Understanding COBRA 
 
by Christopher Welsh May 25, 2005

How long does COBRA last?

All right; you have a good idea of what COBRA is and how it works now. The next question is, “how long can I keep this coverage? What if I’m out of work for a long time?” Like the Qualifying Events, it depends on what kind of Qualified Beneficiary you are; but it also depends on the Qualifying Event.

What does COBRA cost?

Brace yourself; you may not be ready for this. COBRA benefits can be continued for 102% of the cost of the group coverage. The 2% is an administrative fee on top of the premium. Before you fish out your pay stub and figure out what 2% is, understand that you are most likely not paying 100% of the premium now, but rather only your portion. Your employer is also paying a portion, which is sometimes 3 to 4 times (or more) what you pay. So 102% means what you pay plus what your employer pays plus two percent. It is not uncommon for an individual with family coverage to go from paying $300 a month to nearly a thousand.

What benefits are covered?

Like most answers to health-benefit questions, this depends. The short answer is, “whatever your employer was offering to you as a full-time employee,” mainly medical (doctor visits), hospitalization (usually rolled into the same health plan as the medical), prescription, dental and vision. The long answer will depend on how your company’s COBRA administrator interprets COBRA and a host of other possible influences. Ultimately, you will need to check with the administrator.

The good news: They have to notify you of your benefits, what is offered to you, and the timing and cost involved.

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