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OHBEN0110 - Define Unavailability Reasons

BAL_S_LOG - Application Log: Log header data   Fill RESBD Structure from EBP Component Structure  
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In this IMG activity, you enter and store the Unavailability Reasons for COBRA coverage.

If the health insurance plan administrator receives notice from an individual of a qualifying event, a second qualifying event, or of a Social Security disability determination and the administrator determines that COBRA coverage or an extension of COBRA coverage is not available, the administrator must notify the individual of the unavailability and explain why COBRA coverage is not available. This Notice must be provided regardless of the reason for denying the request for COBRA coverage, including that the notice of the qualifying event was incomplete or not furnished in a timely manner. The Notice of Unavailability of COBRA Coverage must be sent within the time frame specified for the COBRA Election Notice.

Examples of reasons for the unavailability of COBRA coverage include:

• Voluntary Drop of Coverage

• There has been no loss of group coverage

• Coverage was previously terminated for non-payment of premiums

• The SSA disability determination was not provided within 60 days of receipt

• The disability did not occur during the first 60 days under COBRA

• The company terminated the group plan and no alternative plan is available

• The person moved from the insurer's service area; no alternate is available

ABAP Short Reference   General Data in Customer Master  
This documentation is copyright by SAP AG.

Length: 1653 Date: 20240523 Time: 171647     sap01-206 ( 39 ms )