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The plans you've had experience with have offered coverage retroactive to day of termination but that is a determination made by the specific plan, and there are thousands of plans. The law does not require plans to offer retroactive coverage back to the original qualifying event, and there are thousands of plans. Right to revoke a waiver of COBRA coverage If a qualified beneficiary waives COBRA coverage during the election period, he or she must be permitted to later revoke the waiver and elect COBRA coverage, as long as the revocation is done before the end of the election period. If a waiver is later revoked, however, the plan is permitted to begin COBRA coverage on the date the waiver was revoked. http://www.dol.gov/elaws/ebsa/health/employer/c09.htm?c=NNNNNNNNNNNNNY&CHNMW= While Lendaddy is probably OK following your advice it is not a guarantee unless you have specific knowledge re how his plan will deal with it. |
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ps: I was single, 48 yr. old male at the time with no "issues". Was I paying for the high costs of others that I worked with? |
Stomachmonkey, the key here is he is not waiving coverage. He is simply not paying the premium within the 60 day allowed period unless he needs it. This is the COBRA law, not the plan details.
KC, company sponsored plans usually have lower deductibles and co-pays, better coverage, and better prescription coverage. In the past, almost every company plan was "better" and therefore more expensive. The problem with "better" today is that about 10 years ago insurance companies started offering a wide variety of tailored plans to meet specific needs of individuals instead of the higher cost one size fits all plans. This allowed people who don't need maternity coverage, are healthy and want catastrophic care only, or have young kids where prevention is more important to find more customized solutions. Unfortunately, these now non-compliant plans are why so many people will lose the plan they are happy with today. I don't want to send this to PARF, but this is only one of many downsides to the ACA. It is also why he may not be able to find a suitable policy for his small window of time before his new policy kicks in and should take advantage of the payment terms mandated by COBRA. |
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ps: I can keep my individual BCBS plan "as is" (without going under ACA), with the "normal" 7% increase in annual premium (same as it's been increasing annually for five years now). |
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That's important as some people may assume they need to take some action with respect to election of benefits and possibly screw themselves. I think the use of retroactive in that scenario while technically correct is somewhat confusing / misleading. |
KC, yes for every cloud, there is a silver lining. Even for some who lose their current plan, there will be better options. As you so aptly point out, depending on your situation and demographics, you may really benefit. Congrats!
Stomach, he should just wait for the COBRA letter as the dates will be specified. I think the term retroactive is misleading. Really, it is that you are covered for 60 days unless you don't pay your premium during that time period. |
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