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Emblemhealth cobra

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More information concerning situations involving termination due to gross misconduct is available from your agency benefits representative.

For more information, contact the appropriate fund. If dependents lose benefits as a result of death, divorce, domestic partnership termination, or loss of coverage due to the Medicare-eligibility of the contract holder, or due to the loss of dependent child status, the maximum period for which COBRA can continue coverage is 36 months.

This period will be calculated from the date of the loss of coverage under the City program. The definition of a qualified beneficiary includes a child born to or adopted by certain qualified beneficiaries during the COBRA continuation period.

Only if you are a qualified beneficiary by reason of having been an employee, will a child born to or adopted by you during the COBRA continuation period become a qualified beneficiary in his or her own right. This means that if you should lose your COBRA coverage, your new child may have an independent right to continue his or her coverage for the remainder of the otherwise applicable continuation period.

Any increase in COBRA premium due to this change must be paid during the period for which the coverage is in effect. Continuation of coverage can never exceed 36 months in total, regardless of the number of events that relate to a loss in coverage.

Coverage during the continuation period will terminate if the enrollee fails to make timely premium payments or becomes enrolled in another group health plan.

Learn about Notification Responsibilities. Please contact the welfare fund if you wish to purchase its benefits. Eligible persons electing COBRA continuation coverage must do so within 60 days of the date on which they receive notification of their rights, and must pay the initial premium within 45 days of their election.

Premium payments will be made on a monthly basis. They contain important information required for accurate processing and record keeping.

This includes employer groups working with a third-party administrator. EmblemHealth will process these COBRA premium subsidy state continuation enrollments and handle the related billing as follows for direct bill to employer groups with 19 and under full-time eligible employees:.

Once the subsidy period is over and if the individual is still eligible for state continuation coverage, the individual will be placed back on the invoice for the group to continue the premium payments. Employer groups that have already paid their premiums to EmblemHealth during the subsidy period for Assistance Eligible Individuals AEIs , will have their premiums refunded by EmblemHealth. Any information provided on this Website is for informational purposes only.

It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.

Switch to: members providers brokers. Sign in Contact Us Search. Navigation Open. Switch to:. The employer group or broker must send the completed documents listed below for each subscriber eligible for the COBRA premium subsidy as an AEI to their EmblemHealth senior account executive.

Individuals that have already paid their premiums to EmblemHealth during the subsidy period in which they were eligible, will have their premiums refunded by EmblemHealth.