Looking for your 1095-C? Your IRS Form 1095-C ACA Tax Document will be mailed by March 4. You do not need this form to file your taxes, but you should save it with your tax return.
Employees who lose coverage in a CU medical plan, dental plan, vision plan and/or the health care flexible spending account may enroll in COBRA continuation of coverage for the plan(s) in which they were enrolled, for the following reasons:
- termination of employment (for reasons other than gross misconduct): 18 months of coverage
- reduction of work hours: 18 months of coverage
A COBRA packet will be mailed to the employee's home by our third-party administrator, ASI.
Dependent of a Covered Employee
A dependent of a covered employee enrolled in a medical plan, dental plan, vision plan and/or the health care flexible spending account may choose COBRA continuation of coverage for the plan(s) in which he/she was enrolled for one of the following reasons:
- termination of covered employee: 18 months of coverage
- reduction of covered employee's work hours: 18 months of coverage
- death of employee: 36 months of coverage
- divorce, legal separation, or termination of relationship: 36 months of coverage
- employee becomes Medicare-eligible (dependent only): 36 months of coverage
- child loses eligibility: 36 months of coverage
ASI, CU's third-party COBRA administrator, will mail a COBRA packet to the affected employee's home.
COBRA Continuation Coverage Rights - Annual Notice
COBRA Disability Extension
A qualified beneficiary (employee or dependent) under COBRA may be eligible for an additional 11 months of coverage (for a total of 29 months) if:
- he/she was offered COBRA coverage due to the employee's termination of employment or reduction in hours;
- the Social Security Administration determines that he/she is disabled; (PERA members without sufficient Social Security must have a disability determination from PERA)
- he/she is disabled at any time during the first 60 days of COBRA continuation of coverage; AND
- he/she notifies the plan administrator (ASI) of the disability determination within 60 days of the date it's issued and before the end of the original 18-month period of COBRA continuation of coverage.