Tag: qualified beneficiary

Four Tips on Reviewing and Updating COBRA Notice Procedures

The failure to administer COBRA continuation coverage notices correctly can cost employers and plan administrators money, time and aggravation, says COBRA expert Paul M. Hamburger, Esq. of Proskauer Rose LLP. He provides four tips they can use to help avoid COBRA notice missteps: (1) prepare clear, accurate and complete COBRA notices; (2) be sure to […]

COBRA and ARRA Rules Misread in Slapping Employer with $500 Notice Penalty

Here’s one positive pattern in COBRA coverage lawsuits: Even if a plan administrator violated the COBRA law, if it acts reasonably under the circumstances, courts are inclined to mitigate the amount of any penalties. But even though the law is more than 25 years old, case law shows there’s still a learning curve about its […]

California Same-sex Marriage Ban Unconstitutional, 9th Circuit Says

Employers and plan administrators in California should continue to watch the pendulum regarding same-sex marriage in the Golden State, which has swung again. A three-judge panel of the U.S. 9th Circuit Court of Appeals ruled 2-1 on Feb. 8 in Perry v. Brown, Nos. 10-16696, 11-16577, that Proposition 8, the ballot initiative that amended the […]

Is a COBRA Notice ‘Postcard’ Too Far From the Edge of Compliance?

Postcards are designed to provide a brief message, but it will be interesting to learn if such brevity is sufficient to adequately notify an individual of COBRA continuation coverage rights — particularly when the law identifies at least 14 content requirements for COBRA election notices. In a recent court case, an employer/plan administrator faced with […]

Nearly $23K in COBRA Penalties Assessed Due to Dearth of Evidence on Notice Procedures and Breadth of Misleading Info

A recent court case highlights two crucial issues in administering COBRA continuation coverage: (1) a plan administrator has the sole legal obligation to prove compliance with COBRA’s notice rules — it cannot pass the buck to third-party administrators; and (2) lack of sufficient evidence on COBRA notice procedures can be a costly mistake. Recently, an […]

DOL Survey to Analyze COBRA Premium Subsidy Up-take

To fill in the knowledge gaps on how many individuals enrolled in the COBRA premium subsidy program — data that will be helpful in determining the program’s cost-effectiveness, who best benefited from the subsidy and how to target similar programs — the U.S. Department of Labor (DOL) plans to sponsor a study sometime in 2012. […]

COBRA’s Top 10: Law Used as Poster Child for the Problems With Government Jargon

It’s no surprise to most health plan administrators that the federal law on COBRA continuation coverage was used in a recent newspaper article as an example of “bureaucratic legalese.” In recounting efforts to push the “government to speak plainly,” the Dec. 2 Washington Post article said: If you want to understand Americans’ frustration with Washington, […]

‘Out of Control’ Employee Screaming Profanities Loses out on COBRA Due to Gross Misconduct

Although the COBRA statute never defined gross misconduct — leaving it up to the courts — no dictionary is needed when an “out-of-control” employee screams profanities at and makes seemingly threatening hand gestures toward another employee, saying she would “get” hers. This behavior was “so manifestly so outrageous and extreme as to constitute gross misconduct,” […]

Verizon Strike Raises COBRA Coverage Issues

I often feel like raising a picket sign when I look at my phone bill, but that’s another story — right now, I just want to use the news of the Verizon strike to remind you of its COBRA continuation coverage implications. As has been widely reported, approximately 45,000 unionized Verizon workers went on strike […]

Arrivederci to the ARRA Premium Subsidy Law, for the Most Part

This month technically marks the end of the last 18-month period of coverage for individuals who could take advantage of continuation coverage premium subsidies under the American Recovery and Reinvestment Act of 2009 (ARRA). But that doesn’t mean employers can just breathe a sigh of relief and wave off this law. Here’s a summary of […]