Under COBRA, the administrator is permitted
Posted: Tue Oct 07, 2025 6:40 am
In addition to the premium. Therefore, the cost of COBRA continuation coverage to a
state employee, retiree, and/or eligible dependent of an employee/retiree is percent
of the premium previously charged to the active employee or retiree.
Monthly Premium
Once enrolled, the enrollee’s monthly premiums are due by the first of each following
month. While due on the first, the enrollee will have a maximum thirty () day grace
period following the due date in which to make these premium payments. The plan or its
designee is not required to send a cold cold calling list monthly bill. All claims occurring during the month will
be held pending premium payment being made. If the applicable payment is not made
within the grace period, then coverage will be cancelled back to the end of the prior
month in which a premium payment had been made. If COBRA coverage is cancelled
due to non-payment of premiums, the enrollee will not be reinstated.
Partial Premium Payment
If the dental plan receives a partial monthly premium, the plan will notify the enrollee of
the amount of the deficiency and allow days for the deficiency to be paid. All claims
incurred during the month when the deficiency exists will be held pending receipt of the
deficient amount.
Secondary COBRA Event Occurs During the -Month Period
If during the months of continuation coverage, a second event takes place (divorce,
termination of domestic partnership, legal separation, death, or a dependent child ceases
to be a dependent), then the original months of continuation coverage can be extended
to months from the original date of loss of coverage for eligible dependent qualified
beneficiaries. If a second event occurs, it is the qualified beneficiary’s responsibility to
notify the plan in writing within days of the second event and within the original -
month COBRA timeline. In no event will continuation coverage last beyond three years
( months) from the original date of loss of coverage.
-Month Qualifying Event (Social Security Disability)
COBRA contains a provision that provides additional protection for qualified beneficiaries
who are deemed disabled according to the Social Security Administration. If a state
employee who experiences one of the “-month” qualifying events meets the Social
Security definition of disability, the employee and his or her eligible beneficiaries are
entitled to continuation coverage of months (from the date of the qualifying event).
Open Enrollment Period
COBRA enrollees have the same rights as active employees to make allowable changes to
their coverage during the annual open enrollment period. Specific instructions will be sent to
all COBRA enrollees by CalHR prior to the beginning of the open enrollment period.
state employee, retiree, and/or eligible dependent of an employee/retiree is percent
of the premium previously charged to the active employee or retiree.
Monthly Premium
Once enrolled, the enrollee’s monthly premiums are due by the first of each following
month. While due on the first, the enrollee will have a maximum thirty () day grace
period following the due date in which to make these premium payments. The plan or its
designee is not required to send a cold cold calling list monthly bill. All claims occurring during the month will
be held pending premium payment being made. If the applicable payment is not made
within the grace period, then coverage will be cancelled back to the end of the prior
month in which a premium payment had been made. If COBRA coverage is cancelled
due to non-payment of premiums, the enrollee will not be reinstated.
Partial Premium Payment
If the dental plan receives a partial monthly premium, the plan will notify the enrollee of
the amount of the deficiency and allow days for the deficiency to be paid. All claims
incurred during the month when the deficiency exists will be held pending receipt of the
deficient amount.
Secondary COBRA Event Occurs During the -Month Period
If during the months of continuation coverage, a second event takes place (divorce,
termination of domestic partnership, legal separation, death, or a dependent child ceases
to be a dependent), then the original months of continuation coverage can be extended
to months from the original date of loss of coverage for eligible dependent qualified
beneficiaries. If a second event occurs, it is the qualified beneficiary’s responsibility to
notify the plan in writing within days of the second event and within the original -
month COBRA timeline. In no event will continuation coverage last beyond three years
( months) from the original date of loss of coverage.
-Month Qualifying Event (Social Security Disability)
COBRA contains a provision that provides additional protection for qualified beneficiaries
who are deemed disabled according to the Social Security Administration. If a state
employee who experiences one of the “-month” qualifying events meets the Social
Security definition of disability, the employee and his or her eligible beneficiaries are
entitled to continuation coverage of months (from the date of the qualifying event).
Open Enrollment Period
COBRA enrollees have the same rights as active employees to make allowable changes to
their coverage during the annual open enrollment period. Specific instructions will be sent to
all COBRA enrollees by CalHR prior to the beginning of the open enrollment period.