Author Topic: Gap in Health Insurance for Child turning 26 - COBRA?  (Read 1044 times)

better late

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Gap in Health Insurance for Child turning 26 - COBRA?
« on: September 28, 2022, 08:28:18 AM »
My child who is turning 26 and aging out of our Healthcare Insurance is going to have a month between when their dependent coverage through our insurance ends and their new ACA plan begins.  Would they be eligible for COBRA?   Could we retroactively enroll in COBRA if my child needs healthcare during this one month gap?  Has anyone done this?

seattlecyclone

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Re: Gap in Health Insurance for Child turning 26 - COBRA?
« Reply #1 on: September 28, 2022, 10:22:51 AM »
The Department of Labor says this would be a qualifying event for COBRA coverage. I imagine the same rules allowing retroactive sign-up for COBRA within 60 days apply to this situation as any other.

yachi

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Re: Gap in Health Insurance for Child turning 26 - COBRA?
« Reply #2 on: September 28, 2022, 11:21:48 AM »
...is going to have a month between when their dependent coverage through our insurance ends and their new ACA plan begins.

Why?  When they age out of your Healthcare Insurance, they are eligible for a special enrollment period for an ACA plan.

better late

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Re: Gap in Health Insurance for Child turning 26 - COBRA?
« Reply #3 on: September 30, 2022, 07:50:11 AM »
...is going to have a month between when their dependent coverage through our insurance ends and their new ACA plan begins.

Why?  When they age out of your Healthcare Insurance, they are eligible for a special enrollment period for an ACA plan.

Yes - they will have ACA insurance by November 1st but will have this gap.

ixtap

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Re: Gap in Health Insurance for Child turning 26 - COBRA?
« Reply #4 on: September 30, 2022, 08:13:49 PM »
I know that there is this 60 day rule for COBRA (and it is actually 60 days from when you are notified of eligibility, not from the qualifying date), but in our case, they couldn't get us enrolled, Megacorp ended up paying extra months to avoid any penalty, and now it is nearly a month since the clock was reset and the benefits company still has us in limbo. Both times, we have the eligibility letter, but the benefits provider can't, in their words, "get the button to show up."

If your child does go this route, even though they are unlikely to have it as *bleeped* as we have, they need to know that they will likely have to pay and be reimbursed because they won't be able to give an active insurance until after the premiums have been paid. We have found that providers that we have used for a long time just assume the info is the same, but once a claim gets rejected because that individual isn't covered, they really want to know what is up and would rather like their money. New providers will try to run the insurance card and see right away that it isn't valid.