As we headed into the new year, some important changes in the state’s 36 month insurance continuation mandate occurred that were not well advertised and escaped our notice. Let’s review these important fringe benefit changes.
On July 28, 2009, Governor Paterson signed into law an 18 month extension of the existing 18 month COBRA and mini-COBRA medical insurance continuation to a total of 36 months. Although effective on July 1, 2009, it was not supposed to affect employers’ medical insurance programs until the insurance contract’s next renewal, modification, change or amendment. For many of us, that was January 1, 2010 or later. For employees on COBRA or mini-COBRA at that time, if their 18 months of coverage ended after July 1st but earlier than our next group insurance contract renewal, the employee or qualified member did not get the new 18 month extension. This has changed.
On November 11, 2009, the Governor’s office proposed a change to the July legislation citing the need for the 18 month extension to cover more people, and because of the high cost of health insurance coverage outside of an employer group. The bill passed the Senate and Assembly on November 16th and was signed by the Governor on November 19th. It was effective on November 19, 2009. On December 23rd, the first information about these changes appeared on the New York State Insurance Department’s website. It applies to those employees or participants whose COBRA or mini-COBRA coverage expired between July 1, 2009 and your next group health insurance contract or policy renewal. Here’s what the changes look like.
First, the new law applies to all group health insurance contracts and policies effective November 1, 2009. So, instead of the 36 month extension mandate starting at your next renewal after July 1, 2009 (the July law), it now applies to all contracts or policies, regardless of renewal date, on November 1, 2009. The practical implication is that if you had COBRA or mini-COBRA participants’ coverage expire in November or December, prior to your contract or policy renewal, you need to now continue their coverage for the additional 18 months for a total of 36 months. So, contact those former COBRA or mini-COBRA participants, inform them of the additional 18 months available and continue the coverage if requested.
Second, another section of the new law applies to those COBRA and mini-COBRA participants whose coverage expired between July 1, 2009 and November 1, 2009 and prior to the contract or policy expiration. For them, you and your carrier must create a special enrollment period to allow these participants to extend their COBRA or mini-COBRA coverage for an additional 18 months up to a total of 36 months. This special enrollment period is 60 days following the former participant’s receipt of information from the carrier (or you) about this new special enrollment period. For those whose initial COBRA or mini-COBRA coverage expired in July, August, September or October, there will be a gap between that initial expiration of coverage and continuation of coverage as a result of the special enrollment period. You don’t have to fill that gap and the former.