J Simmons Posted November 5, 2008 Posted November 5, 2008 An ER has 25 EEs, has a group health policy for the EEs, and is in the midst of annual renewal of the policy. Unbeknownst to the ER, the agent just found out that an EE laid off last week has been rated as a bad health risk and would spike the group premium considerably. So much so, it would be much less expensive for the ER to pay for an individual policy for the former EE for a year than it would be the extra group premium if that former EE elected COBRA and paid the group rate himself. Is there a prohibition to offering an EE an inducement to forego COBRA, similar to the prohibition against inducing someone to forego ER provided health coverage and go on Medicare primarily? John Simmons johnsimmonslaw@gmail.com Note to Readers: For you, I'm a stranger posting on a bulletin board. Posts here should not be given the same weight as personalized advice from a professional who knows or can learn all the facts of your situation.
Don Levit Posted November 5, 2008 Posted November 5, 2008 John: Good question. According to the HR Training Center, the "Choice Method" is one of the alternative coverage options. Here, the person is given the choice between electing COBRA or waiving COBRA in favor of some other, different coverage. Go to: http://www.hrtrainingcenter.com/readArticl...amp;RID=1010100. Don Levit
J Simmons Posted November 5, 2008 Author Posted November 5, 2008 Thanks, Don. John Simmons johnsimmonslaw@gmail.com Note to Readers: For you, I'm a stranger posting on a bulletin board. Posts here should not be given the same weight as personalized advice from a professional who knows or can learn all the facts of your situation.
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