SOURCE: eHealth, Inc.
Answers About the COBRA Subsidy and Affordable Health Insurance Alternatives From eHealthInsurance
COBRA Subsidy in Federal Stimulus Package Increases Affordable Healthcare Options for the Unemployed and Uninsured
MOUNTAIN VIEW, CA--(Marketwire - February 19, 2009) - eHealthInsurance, the leading online source of medical insurance for individuals, families and small businesses, today provided answers to questions about the federal subsidy for COBRA insurance premiums included in the economic stimulus bill.
The new American Recovery and Reinvestment Act of 2009, which the president signed into law on February 17, 2009, includes a 65 percent subsidy on the cost of COBRA premiums for up to 9 months. The answers provided here can help people make informed choices regarding their health insurance coverage if they lose their jobs.
Question: Who is eligible for the proposed COBRA subsidy?
Answer: You're eligible for the subsidy if:
-- Your individual income is less than $125,000 per year or your family
income is less than $250,000 per year; and
-- You were laid off between September 1, 2008 and December 31, 2009; and
-- At the time of the layoff you were participating in group coverage
sponsored by your employer. (You may currently be insured through COBRA,
through a private plan, or uninsured.); and
-- Your employer must continue to exist (if the company was liquidated in
a Chapter 7 bankruptcy then group coverage will no longer be available).
-- If you were laid off on or after September 1, 2008 and did not choose
COBRA within the required 62-day window, you're allowed to become eligible
for COBRA again, as long as the former employer continues to exist and
offer group coverage.
-- The subsidy is not retroactive and will only apply from the date of
the law's passage going forward. If you've opted for COBRA and begin paying
premiums before the effective date of the Act, you won't get a credit or
refund for the COBRA premiums paid prior to that effective date.
Question: Who is not eligible for the proposed COBRA subsidy?
Answer: You're not eligible for the subsidy if:
-- You were laid off before September 1, 2008 or after December 31, 2009.
-- You weren't participating in group coverage through your employer
before your layoff.
-- Your company didn't offer health insurance benefits or has gone out of
business.
-- Companies with fewer than 20 employees are not required by federal law
to offer COBRA coverage, but check with your benefits administrator at your
former employer as some states require employers with fewer than 20
employees to offer continuation coverage.
-- If you reside in one of these states, you may be eligible for this
subsidy if your state's continuation of coverage requirements are
comparable to COBRA's continuation of coverage requirements. Please check
with your benefits administrator to confirm whether you are eligible for
this subsidy.
Question: How do I know if I qualify for COBRA?
Answer: Qualifications for COBRA insurance include:
-- Voluntary or involuntary termination of employment (for reasons other
than gross misconduct).
-- Reduction in the number of hours of employment.
Question: Who doesn't qualify for COBRA?
Answer: You're not eligible for COBRA if:
-- Your employer doesn't offer you health insurance coverage.
-- Your company files for bankruptcy or shuts down completely and ceases
to offer a group plan.
-- Your company has fewer than 20 employees.
-- Note that companies with fewer than 20 employees are not required by
federal law to offer COBRA coverage, but some states require employers with
fewer than 20 employees to offer continuation coverage. Check with your
benefits administrator to confirm whether you're eligible for this subsidy.
Question: What are the advantages of continuing coverage through COBRA with this new subsidy?
Answer: There are several;
-- You'll enjoy a 65% cost savings for nine months on your COBRA premium.
Your former employer covers the difference between the subsidy and the full
premium, and is compensated by the Treasury through a tax credit.
-- You'll continue to be enrolled in the same employer-provided plan
you're accustomed to, and can continue to use the same physicians and
benefits.
-- If you have pre-existing conditions that may preclude you from
qualifying for other types of coverage, you can stay on COBRA at a reduced
rate for nine months.
Question: Are there any potential disadvantages to continuing my coverage through a government-subsidized COBRA plan?
Answer: Potentially, yes;
-- Even with the 65% subsidy, COBRA coverage may still be prohibitively
expensive, especially if you're surviving on monthly unemployment benefits.
-- The current subsidy lasts for 9 months and COBRA coverage is limited
to 18 months. If you haven't found a job by the time your COBRA expires,
and you've developed a chronic health problem or had a moderate to serious
medical incident in the interim, it may be harder to qualify for an
individual health insurance policy.
Question: If I'm not eligible for COBRA, what other options for health insurance do I have?
Answers:
-- Check your spouse's plan: If you're married and your spouse is
employed, check to see if you can get on your spouse's employer's plan.
Find out if your spouse's share of the premium would increase if you join
the plan. Some employer-sponsored plans allow for non-married employees to
add a long-term partner to the plan.
-- Private health insurance: If you're in relatively good health and have
little or no pre-existing health conditions, you may find less expensive
options to COBRA -- even with a 65% subsidy -- in the private health
insurance market. A 2008 survey of 227,000 private health insurance policy
holders showed that half of all individual policy holders paid less than
$130 per month(1) and over half of family policy holders paid less than
$300 per month(1).
-- Short-term coverage: Some short-term plans may be easier to qualify
for and cost less. Short-term health insurance policies typically last for
six months, but they have limitations. They often don't count as
continuation of creditable coverage and often don't cover pre-existing
medical conditions. But, they do provide a measure of financial protection in
the event of a medical emergency.
-- Explore public programs: If none of these options are viable for you,
you're not without hope. The Foundation for Health Coverage Education
(FHCE) has an excellent web site and their U.S. Uninsured Help Line that
can connect you with publicly-funded programs in your state. Over 90
percent of the people that contact the FHCE find coverage. Their web site
is www.coverageforall.org and their toll-free number is 800-234-1317.
Question: Who do I call for more information?
Answer: You have several options available;
-- If you're unemployed, talk to the benefits administrator or HR
representative at your former employer to understand your eligibility for
these newly proposed benefits. The details of the subsidy may change, so
stay in touch with benefits administrators for the latest updates.
-- If you are unemployed, need health insurance immediately and cannot
afford current COBRA premiums or are ineligible for COBRA, research your
options at www.ehealthinsurance.com or talk to an eHealthInsurance licensed
agent, free of charge, at 1-800-977-8860.
-- If you're unemployed and can't afford or meet the qualifications for
COBRA or individual health insurance, visit www.coverageforall.org. The
Coverageforall.org website offers visitors a database, with more than 176
government-sponsored programs in 50 states and the District of Columbia to
help people in need find public health coverage. Sponsored by the
Foundation of Health Coverage Education, CoverageForAll also offers a free
24/7, multilingual U.S. Uninsured Help Line at 800-234-1317.
NOTE: This summary is intended to provide general information. It does not offer legal advice or attempt to provide a comprehensive, detailed look at all the issues surrounding any one topic.
About eHealth, Inc.:
eHealth, Inc. (
Footnotes:
(1) SOURCE: eHealth, Inc.'s 2008 report: Cost and Benefits Of Individual and Family Health Insurance Plans: http://www.ehealthinsurance.com/content/expertcenterNew/eHealthCBreport2008FINAL.pdf
Nate Purpura
eHealth, Inc.
(650) 210-3115
nate.purpura@ehealth.com
Sande Drew
eHealth, Inc.
(916) 207-7674
sandrew@surewest.net

