Eligibility

ARP COBRA Subsidy

Eligibility

1. Triggering Subsidy Eligibility

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Federal COBRA or state continuation right triggered by:

Involuntary Termination of Employment

Or

Reduction 
in Hours

Not available for:

    • Voluntary termination
    • Divorce
    • Death
    • Loss of dependent status

Does not need to be related to COVID-19

Employers should interpret an involuntary termination broadly, including when an employee is terminated for cause, unless there was gross misconduct

2. Qualified Beneficiaries

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Two Categories of Eligible Individuals

COBRA or state continuation triggered:

1

Between
April – September 2021

2

Prior to April 2021,
but still in maximum coverage period

Subsidy will be available to employees (former employees) and their spouses and dependents

QBs in the Middle of Their Maximum Coverage Period

Already Enrolled

  • Coverage continues
  • No premium is due (premium is paid by the employer for up to 6 months
  • COBRA subsidy must be elected within 60 days of being notified
  • Must still be within their maximum coverage period from the original qualifying event date

Not Enrolled 

  • Must be given a second chance to enroll and take advantage of the subsidy
  • Must still be within their maximum coverage period from the original qualifying event date
  • Coverage must be elected within 60 days of being notified of the COBRA subsidy
  • Coverage is prospective (i.e., Apr. 1), not retroactive to the original qualifying event date

3. Examples

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Example 1

Employee experiences a reduction in hours May 12, 2021

Employee (and any family members enrolled) must be offered the COBRA subsidy for Jun. 1 – Sept. 30, 2021

Example 2

Employee’s position was eliminated Jul. 23, 2020. Employee and family elected COBRA and have paid monthly COBRA premiums since Aug. 2020

Family may continue coverage and not pay the COBRA premiums for Apr. 1 – Sept. 30, 2021

Example 3

Employee was involuntarily terminated Nov. 3, 2019. Employee did not elect COBRA when first offered

Employee must be offered the COBRA subsidy for Apr. 1 – May 31, 2021