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Benefits

Do We Have to Offer COBRA to Employees Who Are Furloughed?

EBIA  

EBIA  

QUESTION: Our company is closing one of its divisions for one month and placing all employees in that division on temporary unpaid leave in a mandatory furlough. Do we have to offer COBRA to employees who lose coverage under our group health plan because they are not working that month?

ANSWER: Yes. Assuming your plan is subject to COBRA, all covered employees experiencing a reduction of hours and loss of coverage due to the furlough are entitled to a COBRA election (as are their covered spouses and dependent children), even though they will presumably elect and continue COBRA coverage for only one month. Your company should timely provide COBRA election notices and otherwise follow its standard COBRA procedures.

A reduction of hours in a covered employee’s employment is a COBRA triggering event that commonly occurs when an employee goes from full-time to part-time, is temporarily laid off, takes a leave of absence, or has hours reduced due to a strike or lockout. If eligibility for the plan depends on the number of hours worked, and the employee fails to work the required hours, then the employee has experienced a reduction of hours.

Given the timeframes involved with offering COBRA—including a period of at least 60 days in which to elect COBRA and a 45-day period in which to make the first premium payment—qualified beneficiaries can adopt a wait-and-see approach and elect coverage only if medical care is required before the election is due. In your situation, they can wait to see if they incur any medical expenses during the one-month furlough period and then decide whether to elect COBRA. In some cases, they may wait out the entire furlough period before determining whether they will need to elect COBRA.

For more information, see EBIA’s COBRA manual at Sections VII.C (“Qualifying Events: Reduction of Hours (Event #2)”) and XIX.B (“Timing of Election”).

Contributing Editors: EBIA Staff.

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