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OHBEN0101 - Define Qualifying Event Coverage Periods

OHBEN0101 - Define Qualifying Event Coverage Periods

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In this step, you define the events that qualify individuals for COBRA coverage, and the periods of permitted coverage continuation for each qualifying event type. COBRA legislation states the following regarding coverage continuation periods:

  • In the case of Termination of employment and Reduction in working hours, only 18 months coverage must be provided. If qualified beneficiaries are determined to be disabled within 60 days of the COBRA event, they are entitled to a further 11 months of coverage, as are the other qualified beneficiaries who experienced the original event.
  • For all other qualifying events except Bankruptcy of employer, a qualified beneficiary is entitled to 36 months continuation coverage, and there is no extension provision for disability.
  • In the case of the event Bankruptcy of employer, the coverage continuation period is the life of the retired employee or retired employee's widow/widower. You therefore do not need to define a continuation period in this case.

The legally defined qualifying event types and their required coverage continuation periods are predefined in the standard system. You are responsible for maintaining these entries to take account of changes in legislation.

  1. Ensure that the predefined qualifying event types (except for Termination due to gross misconduct) are set up.
  2. Ensure that the period of COBRA coverage is correct for each qualifying event type.






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