{"id":355805,"date":"2016-04-04T10:46:17","date_gmt":"2016-04-04T15:46:17","guid":{"rendered":"https:\/\/ability-fl-prod.internetbrands.com\/ability-law\/healthcare\/patient-rights\/cobra-overview-the-consolidated-omnibus-budget-reconciliation-ac.html"},"modified":"2026-08-25T11:52:00","modified_gmt":"2026-08-25T16:52:00","slug":"cobra-overview-the-consolidated-omnibus-budget-reconciliation-ac","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/cobra-overview-the-consolidated-omnibus-budget-reconciliation-ac.html","title":{"rendered":"COBRA Health Insurance Rights: Coverage and Eligibility"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n<div class=\"fl-page-articles fl-section-main fl-section-main-full-width\"><h1 class=\"fl-no-margin-top\">COBRA Health Insurance Rights: Coverage and Eligibility <\/h1>\n\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/melissa-mccall-j-d\/\">Melissa McCall, J.D.<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/susan-richmond-esq\/\">Susan Mills Richmond, Esq.<\/a>\n                | Last updated\n        <time>\n                            August 25, 2026\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n\n\n<div class=\"fl-key-takeaways fl-mb30\" data-testid=\"fl-key-takeaways\">\n    <div class=\"fl-card-content\">\n        <div class=\"fl-card-body fl-card-bg-teal fl-flex fl-flex-column\">\n                            <h2 class=\"fl-card-title fl-h2 fl-no-margin\">Key Takeaways<\/h2>\n                        <div id=\"QxWEeW7bnR7M72biozAHA-content-0\">\n<p>COBRA lets you keep the same employer health insurance for a limited time after job loss or reduced hours, as long as you were covered the day before a qualifying event. You\u2019ll get identical benefits to active employees, but you\u2019re responsible for paying the full premium, which often makes COBRA more expensive. If COBRA isn\u2019t the right fit, losing coverage also triggers ACA special enrollment, giving you a chance to choose a new plan on the Marketplace.<\/p>\n<\/div>\n\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<p>Under the Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA), you can&#8217;t lose your health insurance coverage if you lose your job. COBRA amended the Employee Retirement Income Security Act (ERISA) to ensure that anyone who loses their job doesn&#8217;t lose health insurance. Under <a href=\"https:\/\/www.findlaw.com\/employment\/wages-and-benefits\/how-does-cobra-insurance-work.html\">COBRA<\/a>, employers must extend health insurance coverage to employees who experience specific changes in employment.<\/p>\n<p>This article explains COBRA. Learn about coverage, qualifying events, early termination, and more.\u00a0<\/p>\n<hr \/>\n<p>Losing your job, especially if you weren&#8217;t expecting it, can be jarring and unsettling. While you can continue your insurance coverage thanks to COBRA, you are now responsible for the full premium, which is an expense many can&#8217;t afford. An <a href=\"https:\/\/lawyers.findlaw.com\/health-health-care-law\/\" target=\"_blank\" rel=\"noopener\">attorney near you<\/a> can explain your rights, review plan options, and make sure you don\u2019t go without the care you depend on.<\/p>\n<hr \/>\n<h2>COBRA Continuation Coverage<\/h2>\n<p>Before Congress passed\u00a0<a href=\"https:\/\/www.findlaw.com\/employment\/wages-and-benefits\/faq-cobra-continuation-health-coverage.html#:~:text=What%20does%20COBRA%20do%3F,health%20coverage%20for%20active%20employees.\">COBRA<\/a>, if you lost your job, you also lost your health insurance. This was often disastrous for anyone with ongoing or chronic medical conditions, as this loss could complicate their treatment. Many people remained in their jobs to maintain access to health insurance coverage. COBRA continuation coverage ensures that the employee and any qualified beneficiaries do not lose their coverage if their employment ends.<\/p>\n<p>COBRA applies to employers with at least 20 employees that sponsor group health insurance plans. The insurance plan administrator must notify employees of their COBRA rights within\u00a090 days\u00a0of getting health insurance coverage.<\/p>\n<h3>Qualified Beneficiaries<\/h3>\n<p>Qualified beneficiaries are those covered by the employer&#8217;s group health insurance plan the day before a qualifying event. The following is a list of\u00a0<a href=\"https:\/\/www.dol.gov\/sites\/dolgov\/files\/ebsa\/about-ebsa\/our-activities\/resource-center\/publications\/an-employers-guide-to-group-health-continuation-coverage-under-cobra.pdf\" target=\"_blank\" rel=\"noopener\">potential qualified beneficiaries<\/a>:<\/p>\n<ul>\n<li>Employee<\/li>\n<li>Employee&#8217;s spouse or former spouse<\/li>\n<li>Employee&#8217;s dependent child<\/li>\n<li>Retired employee<\/li>\n<li>Retired employee&#8217;s spouse<\/li>\n<li>Retired employee&#8217;s dependent child<\/li>\n<\/ul>\n<h3>Qualifying Events<\/h3>\n<p>A qualifying event results in the employee losing their health insurance. Qualifying events vary by the qualified beneficiary. For example, qualifying events for the covered employee include the following:<\/p>\n<ul>\n<li>Reduction in work hours<\/li>\n<li>Voluntary or involuntary termination of employment (exclusive of gross misconduct)<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.dol.gov\/agencies\/ebsa\/about-ebsa\/our-activities\/resource-center\/faqs\/cobra-continuation-health-coverage-workers\" target=\"_blank\" rel=\"noopener\">Qualifying events<\/a>\u00a0for a spouse or former spouse include those for the covered employee and the following:<\/p>\n<ul>\n<li>Death of covered employee<\/li>\n<li>Legal separation of the covered employee<\/li>\n<li>Covered employee becomes eligible for\u00a0Medicare<\/li>\n<li>Qualifying events for a dependent child include those for the covered employee and the following loss of dependent child status under the group health plan rules<\/li>\n<\/ul>\n<h2>COBRA Health Insurance Benefits<\/h2>\n<p>COBRA entitles you to coverage identical to active employees covered under the group health plan. So, you should get the same health and <a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/things-you-should-know-taking-prescription-medications.html\">prescription drug benefits<\/a> as active employees covered under the plan. COBRA coverage should not affect the providers you can see or your deductibles.<\/p>\n<p>COBRA premiums are often more expensive than regular health insurance premiums because the beneficiary pays the entire cost of health care coverage. Employers usually <a href=\"https:\/\/www.findlaw.com\/smallbusiness\/employment-law-and-human-resources\/choosing-the-right-health-plan-for-your-employees.html\">cover a percentage<\/a> of these costs for active employees during employment.<\/p>\n<h2>Length of Time for COBRA Continuation Coverage<\/h2>\n<p>COBRA coverage typically lasts between 18 and 36 months, depending on the qualifying event. But your group health plan can offer longer coverage periods. You may <a href=\"https:\/\/www.cms.gov\/marketplace\/technical-assistance-resources\/understanding-cobra.pdf\" target=\"_blank\" rel=\"noopener\">extend your coverage<\/a> if another qualifying event occurs or a family member becomes disabled.<\/p>\n<h2>COBRA Election<\/h2>\n<p>To elect continuation coverage, you must notify the <a href=\"https:\/\/www.findlaw.com\/consumer\/insurance\/insurance-policies.html\">plan administrator<\/a> within the filing period. Your plan can set the time limit for filing, but it must be at least 60 days from\u00a0whichever of these events\u00a0happened last:<\/p>\n<ul>\n<li>The qualifying event<\/li>\n<li>The loss of your coverage (due to the qualifying event)<\/li>\n<li>Being informed of your responsibility to notify the plan administrator and provided with the proper procedures<\/li>\n<\/ul>\n<p>Once the plan receives notice that you have experienced a qualifying event, it must provide you with an election notice within 14 days. This notice describes your rights to continuation coverage and explains how you make an election. Once you&#8217;ve gotten the notice, you have 60 days to decide. But if the date you would lose your health coverage is later than the date you got the election notice, you have 60 days from the date of your loss of coverage to make your election.<\/p>\n<h2>Early Termination of COBRA Coverage<\/h2>\n<p>COBRA coverage can end early\u00a0for any of the following reasons:<\/p>\n<ul>\n<li>The employer cancels the health plan<\/li>\n<li>You fail to pay your premiums on time<\/li>\n<li>You become eligible for Medicare<\/li>\n<li>You begin coverage under another plan as long as that plan doesn&#8217;t have restrictions against preexisting conditions<\/li>\n<li>You engage in conduct that justifies terminating your coverage (i.e., fraud)<\/li>\n<\/ul>\n<h2>Alternative Coverage Options<\/h2>\n<p>Since the passage of the\u00a0<a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/obamacare-basics-understanding-the-affordable-care-act.html#:~:text=The%20Affordable%20Care%20Act%20is,of%20the%20health%20insurance%20industry.\">Affordable Care Act<\/a> in 2009 (ACA), you have more coverage options if you lose employer-sponsored health coverage. Losing your job or health insurance are both ways to qualify for <a href=\"https:\/\/www.healthcare.gov\/glossary\/special-enrollment-period\/\" target=\"_blank\" rel=\"noopener\">special enrollment<\/a>\u00a0under the ACA.<\/p>\n<p>Special enrollment is outside the annual open enrollment period under the ACA. Typically, you can only enroll in a health insurance plan on the <a href=\"https:\/\/www.findlaw.com\/consumer\/insurance\/insurance-policies.html\">federal health insurance marketplace<\/a> during this period.<\/p>\n<h3>Special Enrollment<\/h3>\n<p><a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/the-pros-and-cons-of-the-affordable-care-act-obamacare.html\">Under the ACA<\/a>, you can qualify for special enrollment if you have experienced any of the following life events:<\/p>\n<ul>\n<li>Losing health insurance coverage<\/li>\n<li>Moving<\/li>\n<li>Marriage<\/li>\n<li>New baby\/child<\/li>\n<li>Decrease in income<\/li>\n<\/ul>\n<p>Depending on your group health plan, you should have 60 days before or after you experienced the qualifying event to enroll in a special enrollment period.<\/p>\n<h2>COBRA Concerns or Questions? Get Legal Help<\/h2>\n<p>Many people in the United States depend on employer-sponsored group health plan coverage to care for themselves and their families. If you lose your job or experience a reduction in your work hours, COBRA can help. A local attorney can help you understand your options under COBRA laws. Speak to an experienced <a href=\"https:\/\/www.findlaw.com\/hirealawyer\/choosing-the-right-lawyer\/health-and-health-care-law.html\">healthcare law lawyer<\/a> today.<\/p>\n<div>\n<p class=\"\">FindLaw\u2019s\u00a0directory of\u00a0<a href=\"https:\/\/lawyers.findlaw.com\/health-health-care-law\/\" target=\"_blank\" rel=\"noopener\">healthcare attorneys<\/a>\u00a0is your first step towards finding expert legal help. Enter your city or ZIP code for a list of qualified legal professionals near you. Because your state\u2019s laws are relevant, your attorney should be licensed in your state. Your search results will also show important details about prospective attorneys, like ratings and whether they offer free case evaluations.\u00a0<\/p>\n<\/div>\n<div class=\"was-this-helpful\">\n<div class=\"was-this-helpful__question-container\" role=\"group\" aria-labelledby=\"was-this-helpful__question\">\u00a0<\/div>\n<\/div>\n\n\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-up\" clip-path=\"url(#clip0_604_3418)\">\n                        <path id=\"Vector\"\n                              d=\"M6 21H3C2.46957 21 1.96086 20.7893 1.58579 20.4142C1.21071 20.0391 1 19.5304 1 19V12C1 11.4696 1.21071 10.9609 1.58579 10.5858C1.96086 10.2107 2.46957 10 3 10H6M13 8V4C13 3.20435 12.6839 2.44129 12.1213 1.87868C11.5587 1.31607 10.7956 1 10 1L6 10V21H17.28C17.7623 21.0055 18.2304 20.8364 18.5979 20.524C18.9654 20.2116 19.2077 19.7769 19.28 19.3L20.66 10.3C20.7035 10.0134 20.6842 9.72068 20.6033 9.44225C20.5225 9.16382 20.3821 8.90629 20.1919 8.68751C20.0016 8.46873 19.7661 8.29393 19.5016 8.17522C19.2371 8.0565 18.9499 7.99672 18.66 8H13Z\"\n                              stroke=\"#666666\" stroke-width=\"2\" stroke-linecap=\"round\"\n                              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<\/button>\n    <\/div>\n    <span class=\"was-this-helpful__taken-action fl-text-sm-bold\"><\/span>\n    <div class=\"was-this-helpful__feedback-container\">\n        <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n            <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n        <\/div>\n        <form class=\"was-this-helpful__feedback-form\">\n            <div class=\"was-this-helpful__feedback was-this-helpful__feedback--positive\">\n                <fieldset>\n                    <legend class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this helpful?<\/legend>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--understandable\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                    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class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--solved-problem\"\n                        >Solved my problem<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--other\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Other\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--other\"\n                        >Other<\/label>\n                 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for=\"was-this-helpful__radio-button--complicated\"\n                        >Too complicated \/ too many steps<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--dated\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Out of date\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--dated\"\n                        >Out of date<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--negative-other\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Other\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--negative-other\"\n                        >Other<\/label>\n                    <\/div>\n                <\/fieldset>\n            <\/div>\n            <div class=\"was-this-helpful__form-buttons-container\">\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--positive at-feedback-submit fl-button secondary\"\n                    type=\"submit\"\n                >\n                    <span class=\"fl-button-content\">Submit<\/span>\n                    <i\n                        class=\"fa fa-angle-right medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n                <button\n                    class=\"was-this-helpful__feedback-button was-this-helpful__feedback-button--cancel fl-button primary disabled\"\n                    type=\"reset\"\n                >\n                    <span class=\"fl-button-content\">Cancel<\/span>\n                    <i\n                        class=\"fa fa-times-circle medium\"\n                        aria-hidden=\"true\"\n                    ><\/i>\n                <\/button>\n            <\/div>\n        <\/form>\n    <\/div>\n    <div class=\"was-this-helpful__thank-you-message\" role=\"status\">\n        <i class=\"was-this-helpful__thank-you-message-icon fa fa-check\"><\/i>\n        <p class=\"was-this-helpful__thank-you-message-text\" aria-live=\"polite\"><\/p>\n    <\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"fl-section-sidebar\"><div class=\"fl-editors-summary\" data-testid=\"fl-editors-summary\">\n    \n    <div class=\"fl-editors-summary-content\" data-testid=\"fl-editors-summary-content\">\n                    <h2>Can I Solve This on My Own or Do I Need an Attorney?<\/h2>\n                <div class=\"fl-editors-summary-content-main\" data-testid=\"fl-editors-summary-content-main\">\n            \n        <\/div>\n        <ul class=\"fl-list-style-none\">\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Most people can choose any apply for a medical plan on their own\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    <span data-sheets-root=\"1\">Healthcare systems and insurance companies are well-resourced with teams of attorneys on their side<\/span>\n\n                <\/li>\n                            <li data-testid=\"fl-editors-summary-content-item\">\n                    <i class=\"fa fa-check medium fl-editors-summary-content-item-icon\" aria-hidden=\"true\"><\/i>\n                    Complex heath care cases (such as medical malpractice, bioethics, or health advocacy) may need a lawyer&#8217;s support\n\n                <\/li>\n                    <\/ul>\n                    <div class=\"fl-editors-summary-content-description\" data-testid=\"fl-editors-summary-content-description\">\n                <p>Protect your patient rights with an attorney at your side. An attorney can offer tailored advice and help prevent common mistakes.<\/p>\n\n            <\/div>\n                            <div class=\"fl-editors-summary-content-link fl-flex\" data-testid=\"fl-editors-summary-content-link\">\n                <i class=\"fa fa-angle-right medium\" aria-hidden=\"true\"><\/i>\n                <p class=\"find-attorney\"><a href=\"https:\/\/lawyers.findlaw.com\/health-health-care-law\/#USER_GEO\/?fli=esum:FL28\" target=\"_blank\" rel=\"noopener\">Find a local attorney<\/a><\/p>\n\n            <\/div>\n            <\/div>\n<\/div>\n\n\n\n<div class=\"email-subscription fl-mb30\">\n    <div class=\"email-subscription-header\">\n        <div class=\"email-subscription-header-content\">\n            <h3 class=\"fl-callout-sm fl-no-margin\">Stay Up-to-Date With How the Law Affects Your Life<\/h3>\n        <\/div>\n        <div class=\"email-subscription-header-image fl-flex fl-items-end\">\n            <img decoding=\"async\"\n                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