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COBRA Insurance in New York:

What are your options?

State Insurance Department Information:

New York insurance department documents and articles of interest:

 

Cobra Insurance in New York:

The Federal Consolidated Omnibus Budget Reconciliation Act (COBRA) allows retiring employees, or those who lose coverage due to quitting a job or reduced work hours, to continue group coverage for a limited period of time. This also applies to their dependents who lose coverage because of divorce or legal separation; death of the covered employee; the covered employee qualifying for Medicare; or a loss of dependent status under the health planís provisions. COBRA applies only to employers with 20 or more employees.


If you qualify for COBRA benefits, your health-plan administrator must give you a notice stating your right to choose to continue benefits provided by the plan. You then have 60 days to accept coverage or lose all rights to the benefits. Once you select COBRA coverage, you may have to pay 100 percent of the total insurance cost, plus a two percent processing fee.

 

If you work for an employer that has over 20 full-time employees:  Then federal COBRA law applies, go to COBRA summary

 

If you work for an employer that has under 20 full-time employees: New York has a state continuation program (similar to COBRA).  Plans with 2-19 employees may be eligible for up to 18 months of continuation coverage. 

 

New York State law requires small employers (less than 20 employees) to provide the equivalent of COBRA benefits. You are entitled to 18 months of continued health coverage (29 if you are disabled, 36 for spouse and dependents if eligibility is based on divorce or death of employee, the employee becomes Medicare eligible or the dependent child ceases to be a dependent) at a monthly cost to you of 102% of the actual cost to the employer which may be different from the amount deducted from your paychecks.

 

What are your options?

  1. Contact your previous employer and ask him/her to give you your COBRA papers so that you may see how much it is to continue your health insurance through the group plan.

  2. Shop for temporary health insurance: if you do not have preexisting conditions and need temporary coverage for 1-6 months then temporary health insurance is a great solution and you will find that it is extremely affordable.

  3. If you have preexisting conditions or pregnant you should try to get on another group plan (or pay for COBRA) as quick as you can or contact your local insurance state department to see what they have available for you.  Many states have a guaranteed issue health insurance plan for individuals who cannot secure coverage through a private health insurer.  Check out our Uninsurable State Risk Pools Resource page.

New York State Insurance Department Contact Information:

25 Beaver Street
New York, NY 10004

212-480-5242

New York COBRA links:

  

 

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