WebCOBRA ADMINISTRATION + PREMIUM BILLING SERVICES. WebBenefits services for administrators Complete administration tasks for COBRA, State Continuation, Retiree/Direct Bill Services, FSA implementation and more. Direct billing for COBRA makes it easier for employers to adhere to the rules. Some qualifying events, or a second qualifying event during the initial period of coverage, may allow up to 36 months of coverage. Note that the group health plan is permitted to charge up to 150 percent of the applicable premium for the 11-month extension. Some examples of these events include: With PayFlex, you can enroll in COBRA and pay your insurance premiums, all through our website. Accept the user agreement. If you do not have pre-existing health conditions, you may visit the health enrollment center to find temporary health insurance plans that offer significant savings of up to 70% off an employers COBRA coverage. Log in to: Submit qualifying events View participant accounts Submit inquiries Access reports Process enrollment for participants Create initial/general notices Employer provided you coverage under Preferred List provisions and that coverage has been exhausted. With Direct Billing, you can use our website to pay insurance premiums directly from your personal bank account. If you dont reply, youll lose your rights to COBRA coverage. WebClient's Responsibilities You are the Plan Administrator and fiduciary as described under ERISA and the Internal Revenue Code. Access from anywhere. Once you elect COBRA coverage, you will receive a bill. ) We also have gap insurance plans that are much more affordable than continuing an employer plan. The law generally covers group health plans maintained by employers with 20 or more employees in the prior year. In addition, the extended period of COBRA ends if there is a final determination under title II or XVI that the individual is no longer disabled. A written explanation of the procedures for electing COBRA. WebThis COBRA Service Agreement (Agreement) specifies the services to be provided by Higginbotham Insurance Agency, Inc. (Higginbotham) to Client in connection with eligibility processing beginning on the effective date of the Purchase Order. Its generally available for retirees, members out on disability and/or members taking a leave of absence. General note: COBRA can be a daunting and complex area of Federal law. If you have questions, please contact us by email at benefits@azdoa.gov or call 602-542-5008, or 800-304-3687. If COBRA doesn't feel like the right fit for you, you may want to consider other options, like short-term plans or UnitedHealthcare Individual and Family Marketplace (ACA) plans. Log in to: Submit qualifying events View participant accounts Submit inquiries Access reports Process enrollment for participants Create initial/general notices CA Licensed #0D43589, Get Expert Advice HealthCare.gov Certified Insurance Specialists. Direct billing for COBRA makes it easier for employers to adhere to the rules. Title XXII of the Public Health Service (PHS) Act, 42 U.S.C. WebCOBRAs primary purpose is to prevent a lapse in health insurance coverage. We use cookies to personalize and enhance your experience on our site. How to notify the plan administrator of the election. Q3: Who has jurisdiction with respect to public sector COBRA? For covered employees, the only qualifying event is termination of employment (whether the termination is voluntary or involuntary) including by retirement, or reduction of employment hours. COBRA coverage is retroactive if elected and paid for by the qualified beneficiary. A notice of COBRA rights generally includes the following information: Qualified beneficiaries must notify the plan administer of their election according to the instructions laid out in the election notice. For sales and customer service, call If you already have a One Healthcare ID for Employer eServices, please use those same login credentials here. Secure .gov websites use HTTPSA Set up your username and password. You can decide how often to receive updates. WebCOBRA helps close a gap in health coverage. On June 15, 2022 the benefitexpress brand Lets help you get started with UnitedHealthcare Benefit Services. If you decide not to take COBRA coverage, you can enroll in a Marketplace plan WebYour Online COBRA Benefits Account. WebBilling Services PO Box 2617 Omaha, NE 68103-2617 Kimberly Sample2 1234 Corporate Way Houston, TX 77096 9/27/2019 Dear Kimberly Sample2: Billing Services has received your full premium payment for COBRA continuation coverage through Kimberly-Clark (K-C). If the employer uses a third-party administrator, the notification you receive for continuing your workplace insurance contains your login instructions and how to create a COBRA account on your administrators website. ( If you become divorced or legally separated from the covered employee, or if a dependent child no longer meets the requirement to be a covered dependent (usually by reaching a specified age), the covered employee or qualified beneficiary is responsible for notifying the plan administrator of the qualifying event within 60 days after the date of the qualifying event. The Centers for Medicare and Medicaid Services (CMS) has advisory jurisdiction over the continuation coverage requirements of COBRA as they apply to group health plans which are sponsored by state, county, municipal, or public school districts (Public Sector Shannon Kennedy, Licensed Agent. WebCOBRA helps close a gap in health coverage. During the implementation phase, a direct dial telephone number as well as the teams email is provided. WebThe Consolidated Omnibus Budget Reconciliation Act (COBRA) provides certain former employees, retirees, spouses, former spouses, and dependent children the right to temporary continuation of health coverage at group rates. Its usually for retirees, employees out on disability and those taking a leave of absence. Its available if: CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. However, a COBRA qualifying event may occur when an employer no longer has to maintain health benefits under FMLA. .manual-search ul.usa-list li {max-width:100%;} Get the WebContact Our Sales Team. If all the qualified beneficiaries reside at the same address, the plan administrators may either include separate election notices for each qualified beneficiary in a single mailing that is addressed to both the employee and spouse, or send a single notice that clearly identifies all qualified beneficiaries covered by the notice, and explains each person's separate and independent right to elect COBRA continuation coverage. COBRA offers an improved way to pay your bills online, check your account, and update your payment information. Send the plan a copy of the Social Security ruling within 60 days of receipt. Create one now. 30-day grace period After the initial 45-day grace period, enrollees will have a 30-day grace period from the premium due date to pay subsequent premiums. WebCOBRA and billing services COBRA Phone: Our customer support center is available for assistance from 7 a.m. to 6 p.m. (Central Time), Monday through Friday at (866) 343-8902. Employer Login. They cover why employers use direct billing services, how direct billing works with COBRA, and how both employers and employees benefit from using a third party to provide this administrative service. Call us at 1-877-837-5017 Email Support This is an update regarding your benefitexpress, LLC, a WEX Company account. The address to which to send premium payments, A qualified beneficiarys rights and obligations with respect to extensions of COBRA coverage, and. WebThe Consolidated Omnibus Budget Reconciliation Act (COBRA) provides certain former employees, retirees, spouses, former spouses, and dependent children the right to temporary continuation of health coverage at group rates. On June 15, 2022 the benefitexpress brand Access from anywhere. Medcom supplies the full-service solution for your COBRA, Retiree Billing, and Direct Billing needs. Experts are available to help you at 866-925-0120 or visit https://www.getcovered.com/uhc. Still have questions? Many employers work with the following: If you are unsure who your plan administrator is, reach out to the human resources department of the company that provided the health insurance you had. WebCOBRA coverage generally is offered for 18 months (36 months in some cases). WebWageWorks will manage carrier and billing updates. The Consolidated Omnibus Budget Reconciliation Act (COBRA) is a Federal law for continuation of group health care benefits. Visit www.healthcare.gov or call 1-800-318-2596 (TTY: 1-855-889-4325) to learn more. You will receive a notice from your employer with information about deadlines for enrollment. Try the BSC Help Center where you can send a question to our support team or search a database of FAQs. If you do not have one, click Loginand you will be guided to create one for ongoing use. Medcom supplies the full-service solution for your COBRA, Retiree Billing, and Direct Billing needs. This notification must be made in writing. In that case, COBRA lasts for eighteen months. Well store these documents online so you can view and/or download them. Ask the Employee Benefits Division whether you will receive subsequent payment reminders. WebCOBRA ADMINISTRATION + PREMIUM BILLING SERVICES. 1-844-PAYFLEX Share sensitive information only on official, secure websites. If youre no longer eligible for coverage under the group health plan, your plan must give you notice about your COBRA rights. Check your health plan documents. They dont need to elect with you. To qualify for additional months, the qualified beneficiary must: If these requirements are met, the entire family would have another 11 months of COBRA. This extends for 18 months, however, there are exceptions as to who is qualified. [CDATA[/* >