Calculating COBRA Rates for Partially Self-Funded Medical

[Guest benefitsnerd]

I understand calculating COBRA rates isn't as easy as using the 4 tier rates and adding 102%. Any feedback regarding a practical method to determine COBRA rates for a partially self-funded group would be greatly appreciated. This group does not have high turn-over. Currently group has 280 employees and only 3 COBRAs....

[GBurns]

This should be performed by an actuary for the claims administrator who should be providing the COBRA rates each year or plan change.

I do not know of an easy non-actuary way, but maybe 1 of the resident actuaries might be able to help you.

If you are not an actuary, I would suggest that you do not provide COBRA rates to anyone even if you are an employee doing it for your employer. It should be provided by the Claims Administrator.

You stated that there are 3 COBRAs What rates are they getting and who developed those rates?

[Kirk Maldonado]

What do you mean by partially self-funded?

[Guest benefitsnerd]

Group self insures medical claims up to a specific and aggregate attachment. Stop Loss coverage kicks in once group has either penatrated the Spec or Agg.