State COBRA expansion programs (sometimes referred to as Mini COBRA)
extend coverage to employees in firms with fewer than 20 workers who
are not covered by COBRA, the federal law. Coverage under these state
continuation programs may differ in duration, restrictions, and eligibility
from the coverage provided to workers under the federal law.
| State |
Length of COBRA (MONTHS) |
| Arkansas |
4 |
| California |
36 |
| Colorado |
18 |
| Connecticut |
36 |
| Iowa |
9 |
| Kansas |
6 |
| Kentucky |
18 |
| Louisiana |
12 |
| Maine |
12 |
| Maryland |
18 |
| Massachusetts |
36 |
| Florida |
29 |
| Georgia |
3 |
| Minnesota |
36 |
| Mississippi |
12 |
| Missouri |
9 |
| Nebraska |
12 |
| Nevada |
36 |
| New Hampshire |
36 |
| New Jersey |
36 |
| New York |
36 |
| North Carolina |
18 |
| North Dakota |
36 |
| Ohio |
6 |
| Oklahoma |
6 |
| Oregon |
6 |
| Rhode Island |
18 |
| South Carolina |
6 |
| South Dakota |
36 |
| Tennessee |
15 |
| Utah |
6 |
| Vermont |
12 |
| West Virginia |
18 |
| Wisconsin |
18 |
| Wyoming |
12 |
- Maximum Duration of Continuation Coverage: Actual duration of state
continuation coverage may be less depending on the qualifying event.
Rating Restrictions: Percentage of the Group Rate: Under all state
continuation coverage laws, the person electing continuation coverage
must pay the entire premium (employee and employer) share and, in
some states, an administrative fee. The added administrative fee varies
from state to state but is typically 2% of the total premium. Similar
to the federal COBRA provisions, many states permit insurers to charge
much higher premiums (typically 150% of the group rate) for those
electing state continuation coverage because disability. These states
are not reflected on the charts.
- States without Continuation Coverage for Small Firms: Alabama,
Alaska, Arizona, Delaware, Idaho, Indiana, Michigan, Montana, Pennsylvania,
Virginia, Washington. In Arizona and Virginia, insurers have the option
of offering either continuation or conversion. In Washington, insurers
are required to offer employers the option of having a continuation
coverage provision, however, continuation coverage is not mandated
in group policies.
- In Idaho, except extension of benefits up to 12 months for individuals
that pregnant or disabled, generally there is no continuation coverage.
- Six states have continuation laws that extend, for certain individuals(generally
55 and older), continuation coverage to the time when the individual
is eligible for Medicare. These states include Illinois, Louisiana,
Maryland, Missouri, New Hampshire, Oregon, In addition, in New Mexico,
group plans offer through the New Mexico Health Insurance Alliance
continue coverage indefinitely. In these states, group carriers have
the discretion not to continue coverage for certain coverage benefits
such as prescription drug coverage, dental benefits and vision benefits.
- In these states, group carriers have the discretion not to continue
coverage for certain coverage benefits such as prescription drug coverage,
dental benefits and vision benefits. In North Dakota, in the case
divorce, insurers are permitted to charge 102% of the group rate.
- In New Jersey, individual considered disabled, under some circumstances,
may continue coverage until they are no longer considered disabled.
- The New Mexico Health Insurance Alliance permits some individuals
to continue to maintain Alliance coverage indefinitely. In order to
be eligible an individual must have maintained Alliance group coverage
for 6 months and no longer be eligible for this coverage for almost
all reasons (i.e. loss of employment, loss of policy, aging off parents'
policy, death ,divorce). Premiums for continuation coverage through
the Alliance are about 9 percent higher than typical group premiums.
- In Oklahoma, Information applies to non-HMO plans. Longer periods
of extension (3-6 months) for those undergoing treatment or pregnancy
at termination of coverage. HMO's required to extend coverage through
pregnancy or ongoing inpatient treatment.
- In South Dakota, the premium to continue coverage after 18 months
increases to 150%.
Source:
http://www.statehealthfacts.org/comparetable.jsp ?ind=357&cat=7&sub=88&yr=18&typ=5&sort=586
Additional info visit: http://www.cobrahealth.com/statelawdirectory.htm
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