The federal Consolidated General Budget Reconciliation Act (COBRA) gives workers who work for employers with 20 or more employees and their families the right to continue to purchase group health insurance for limited periods of time when they would otherwise would lose coverage due to certain events. Qualifying events include voluntary or involuntary job loss, reduction in hours, transition between jobs, death, divorce, and other life events.
qualified individuals may be required to pay up to 102% of the premium cost. the length of time a person can have federally charged coverage depends on why the person loses coverage and can be anywhere from 18 to 36 months.
new york state coverage continued
new york state continuation coverage law is similar to the federal cobra. applies to employers with fewer than 20 employees and gives workers who work for employers with fewer than 20 employees and their families the right to continue to purchase group health insurance for limited periods when they would otherwise lose coverage due to certain events. Qualifying events include voluntary or involuntary job loss, reduction in hours, transition between jobs, death, divorce and other life events. Qualified individuals may be required to pay up to 102% of the premium cost. those eligible for continuation coverage can have up to 36 months of coverage.
- cobra FAQ
- summary of the law and frequently asked questions
- Young Adult Option FAQs
- frequently asked questions about the provisioning option
extension of continuation coverage to 36 months
new york state continuation coverage also provides individuals who are eligible for federal cobra coverage who are not entitled to up to 36 months of coverage under federal law
In 2009, Chapter 236 of the Laws of 2009 improved access to health insurance for New Yorkers by making state continuation coverage (“mini-cobra”) available for a total of 36 months. Under the law, people eligible for federal or state continuation coverage can receive a total of 36 months of coverage.
extension of coverage for “age 29” dependents
Chapter 240 of the Acts of 2009 expands the availability of health insurance coverage to young adults up to age 29. the expansion is designed to help young adults who do not have access to employer-sponsored health insurance. This law is sometimes known as the “age 29” law, because it allows young adults to continue or obtain coverage under a parent’s policy until age 29. The law provides two different ways coverage can be extended: a “young adult option” and a “make available” option.
young adult option
The “age 29” law allows eligible young adults up to age 29 to continue or obtain coverage through the parent’s group policy. insurers will notify employees of this benefit. employees or their eligible dependents can then choose the benefit and pay the premium, which cannot be more than 100% of the single premium rate. this benefit is called the young adult option benefit because it allows eligible young adults to continue their coverage through their parents’ health insurance coverage once they reach the maximum age of dependency under the policy. Young adults can also elect this coverage when they meet eligibility criteria, for example, if they lose eligibility for group health insurance coverage.
make option available
In most individual and group health insurance coverage, a dependent child loses coverage or “expires” on the parent’s policy when they turn 26. insurers issuing a policy or contract providing coverage for dependent children must make available and, if requested by the policy/contract holder, extend coverage to qualified young adults up to age 29 as dependents under family coverage . it is called the “availability” requirement because insurers are required to make it available at the request of the individual or group policy/contract holder. In the case of insurance through an employer or group, the employer or group decides whether to offer this benefit to employees. the young adult cannot make this decision.
sign up for health insurance through ny state of health: the official health plan marketplace
a qualifying event that makes you eligible to purchase cobra coverage also makes you eligible to purchase coverage through new york state of health (nysoh). through nysoh you can quickly compare health plan options and apply for assistance that could lower the cost of your health coverage. You may also qualify for free or low-cost Medicaid or Child Health Plus coverage. For more information or to apply, visit the New York State of Health website or call (855) 355-5777.
assistance for eligible entertainment industry employees
The Entertainment Industry Employee Continuing Assistance Demonstration Program is a pilot program created in 2004 to help eligible entertainment industry employees maintain health insurance during episodic employment. was created to address the episodic employment conditions unique to the entertainment industry.