Consolidated Omnibus Budget Reconciliation Act

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The Consolidated Omnibus Budget Reconciliation Act (COBRA) supports workers, who have lost the right to their health benefits, so that they can keep their employer-sponsored group health plan in force. The need for continued insurance coverage is necessary when coverage is interrupted due to the loss of a job, reduced working hours, death of the insured employee, divorce or even other circumstances that affect a person’s life. A person who qualifies for the group health benefit is usually expected to pay for that premium. The employer may increase the premium up to 102 percent, which is allowed under the provisions of COBRA. The law applies to all employer-sponsored group plans who have 20 and above employees and urges them to ensure an extension of the health coverage that is temporary (Magill, 2009).

COBRA was passed in 1986 and provides guidelines for continuous health coverage in case of sudden loss of a job or even death among other situations that cannot be avoided. Employees as well as employers have to participate in the program to make it effective. The employees are guided by the “Employee Benefits Security Administration” and the “Employee Retirement Income Security Act” to fill out forms of compliance. The law was designed to find temporary solutions for continued medical insurance so that the unemployed can still enjoy and access healthcare facilities despite the financial misfortunes that may render them unable to support themselves as well as their families as they find a permanent solution (Magill, 2009).

The “COBRA” organization is supported by the “Department of Health and Human Services”. The information below illustrates how the scheme works.

Qualified Beneficiary Qualifying Event Coverage Period

Emplo...

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...r the condition to be covered, or be charged extraordinary sums for premiums. The employee must not go without coverage for more than 63 days to avoid the pre-existing condition clauses in a policy. In reality, the government should make Medicaid benefits available to the newly unemployed or low-wage earners due to their now “low-income” status. The reality is that even if the government did make Medicaid benefits available, the state of the economy has caused many states to reduce Medicaid benefits for budgetary reasons.

Works Cited

Magill, N. (2009, January 12). Caught between Unemployment Benefits and Health Care Costs. Retrieved January 18, 2012, from familiesusa: http://www.familiesusa.org/assets/pdfs/cobra- 2009.pdf

McMillan, E. J. (2008). Model policies and procedures for not-for-profit organizations. United States: John Wiley and Sons.

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