COBRA

A COBRA packet (called a COBRA Specific Rights Notice) is mailed to you if you experience a COBRA qualifying event. The most common qualifying event is termination of employment, but there are other qualifying events as provided in the COBRA General Notice of Continuation Rights. COBRA packets include enrollment instructions and an election form. You may not receive your COBRA election notice until several weeks after your COBRA qualifying event.

You have 60 days from the date of the COBRA qualifying event or the COBRA election notice, whichever is later, to make a COBRA election.

For a quicker enrollment experience, please follow the guidance in the Workterra COBRA Alternate Enrollment Procedure document and use the Workterra COBRA ACH Request Form.

Even though your COBRA Specific Rights Notice may not make it abundantly clear, you may elect two individual policies instead of a family policy if you’re electing COBRA coverage for just two people. To do so, simply write “two individual policies” onto the form where you make your COBRA elections. If you were the policy holder as an active employee, your coverage ID card(s)/number(s) will remain the same if you elect COBRA coverage. However, if a dependent becomes a new policy holder in their own right, they will get their own coverage ID card(s)/number(s) from the respective carrier(s). Furthermore, any progress you and your family have made towards satisfaction of your active employee coverage deductible and out-of-pocket maximum will carry over for the former employee, but any new dependent policy holders will get a new deductible and out-of-pocket maximum for the remainder of that calendar year.

If you have not yet received your COBRA Specific Rights Notice and have questions about COBRA, please contact the Office of Employee Benefits.

If you have received your COBRA Specific Rights Notice and have questions about COBRA, please contact Workterra:

• 888-611-4549
• soricobra@workterra.com