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The right to COBRA coverage was created by a federal law, the Consolidated Omnibus Budget Reconciliation Act of 1985 (“COBRA”). COBRA may become available to an employee when he or she would otherwise lose employer-provided health coverage under an employer’s plan. It may also become available to a covered spouse and dependents when they would otherwise lose their coverage under the plan.

Very small employers are not subject to the federal COBRA rules. Generally, a plan is not subject to COBRA with respect to Qualifying Events (see COBRA (employees) for a discussion) occurring during a calendar year if, during the prior calendar year, the employer(s) maintaining the plan employed fewer than 20 employees on a typical business day. Determining whether this small employer exception to COBRA applies can be tricky. The rules for counting employees, and determining whether an employer is aggregated with one or more other employers (which would increase the employee count) are complex. Employers are encourage to check with their advisor if any questions exists about COBRA’s applicability.

For a more detailed discussion of the COBRA rules, see COBRA (employees).

 

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