How do I enroll?

Participation in COBRA is not automatic. The employee or dependent has the obligation to provide notice of becoming ineligible for coverage within 60 days after the date of the qualifying event.  (termination of employment for any reason other than gross misconduct, reduction in work hours, death of employee, divorce, dependent aging off the plan) or they will not be entitled to COBRA. To continue COBRA coverage, the employee or dependent must:

  • complete, sign and return a COBRA application to Benefits Administration within 60 days of the latter: the date active coverage would end, or the date on the notification letter; and
  • as there must not be a lapse in coverage, past due premium payments must be sent to the state within 45 days of the date the application is signed by the person who will be the head of contract on the COBRA policy. Claims will not be processed until all current premiums are paid.
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