< Back to front page Text size +

Qualifying for a reduction in your COBRA premiums

Posted by Andrew Chan September 23, 2009 03:00 PM

During the past week, we’ve received a couple of questions about qualifying for the COBRA subsidy that was enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA). Before I answer those questions, here’s an overview of the subsidy and how it works.

Under the ARRA, individuals who are eligible for COBRA coverage because of involuntarily termination from their job may be eligible for a reduction in their COBRA premiums. The reduction would allow the individual to reduce their COBRA premiums by 65% for up to 9 months.

To be eligible for the reduced premiums you must satisfy the following:

* You must be eligible for COBRA coverage between September 1, 2008 and December 31, 2009;

* Your eligibility for COBRA coverage must be because you were involuntary termination from your job at sometime between September 1, 2008 and December 31, 2009. Keep in mind that you would not generally be eligible for COBRA coverage or the reduction in COBRA premiums if you were terminated because of gross misconduct;

* You must elect COBRA coverage when first offered or during the additional election period provided under the ARRA. The additional election period applies to those who were involuntarily terminated from their job between September 1, 2008 and February 17, 2009 and failed to initially elect COBRA coverage. Those individuals will have an additional 60 days to elect COBRA coverage and receive the subsidy.

The subsidy does have a phase-out. In The subsidy is reduced for those individuals whose modified adjusted gross income (MAGI) exceeds $125,000 dollars ($250,000 dollars for those filing joint returns) and is completely phased-out for those individuals whose MAGI exceeds $145,000 dollars ($290,000 dollars for those filing joint returns).

Here are your questions:

Q1. I was laid off my job in May 2008. I do some independent consulting now but do not make as much I did with my previous employer. Am I eligible for the COBRA subsidy?

Unfortunately, I do not think you will qualify for the subsidy. The subsidy applies to those who were involuntarily terminated between September 1, 2008 and December 31, 2009. The subsidy is not retroactive before September 1, 2008 and your termination date occurred before then.

Q2. I used to have health care coverage with my employer's plan but was let go on 8/31/09. They offered me insurance under COBRA. Am I eligible for COBRA coverage with a reduced premium?

Yes, you should qualify as long as you do not exceed the modified adjusted gross income limits and you are not eligible for other group health insurance coverage (e.g., a new employer’s plan, a spouses plan, Medicare).

For more information about the subsidy visit the following web site:

IRS COBRA Health Insurance Continuation Premium Subsidy
http://www.irs.gov/newsroom/article/0,,id=204505,00.html


Department of Labor: COBRA Continuation Coverage Assistance Under ARRA
http://www.dol.gov/ebsa/cobra.html


  • CommentComment
  • Email E-mail

Email this article

Invalid email address
Invalid email address

Sending your article

Your article has been sent.

ABOUT MANAGING YOUR MONEY
Local finance professionals share insights and advice on issues such as budgeting, managing debt, and retirement planning.

About the contributors

Jill Boynton is co-founder of Cornerstone Financial Planning in Newington, N.H. Along with traditional financial planning services, Boynton provides analysis specifically for divorce.
Andrew Chan is the founder of Integrative Financial Advisors in Framingham. He provides comprehensive financial planning advice and investment management services. He has been an adviser for over 12 years and works with clients to integrate all aspects of their finances including investments, retirement, education funding, and tax planning.
Cheryl Costa is a managing director at AFW Wealth Advisors, which has offices in Natick and Purchase, N.Y. She advises clients on investing, education funding, and estate planning. She holds a master’s in business administration from Boston University.
Jamie Downey has been an accountant for more than 14 years. He's a partner at Downey & Co. in Braintree. Prior to joining the firm, he served as a manager in the audit department of accounting firm KPMG.

E-mail your question

Name:
E-mail:
Your question/comment:
archives