ZenTherapist Posted July 14, 2024 Posted July 14, 2024 I’m on WA state and have been on COBRA through my previous employer (I quit and went to work somewhere else) for around 10 months. I have paid on time every month and have been using the coverage with no issues. This weekend I received notice from a provider that they got a denial of payment for June services from my insurance because “coverage was terminated”. I paid my June (and July) premiums to my former employer on time just like all the other months, and they took the money as usual. I never asked for my coverage to be terminated, did everything per usual on my end. There is no possibility of any issues with my payments, they are always done electronically and the billing office at my former employer confirmed receipt of each payment. I have emailed the billing office to see what is going on but likely won’t hear until Monday, but I looked at my insurance online and I see the EOBs that began denying claims starting in June. What are my legal options is my former employer screwed up and stopped sending in my payments? I actually planned to switch my coverage to my new employers plan at the end of this month thankfully, but that is still 1.5 - 2 months of no coverage because old employer somehow screwed the pooch?? COBRA max is 18 months here in WA, so I didn’t max out on time or anything.
rocknrolls2 Posted July 15, 2024 Posted July 15, 2024 Did the EOBs deny due to lack of coverage? If so, appeal the denial and call the former employer. Either the employer or insurer screwed up. if you don't get a satisfactory answer, sue the employer and the insurer. Luke Bailey 1
Brian Gilmore Posted July 15, 2024 Posted July 15, 2024 I suggest starting with the DOL EBSA either via phone or their online message system. Their Benefit Advisors can often handle these situations easily/quickly. Usually it's just someone made a mistake. https://www.dol.gov/agencies/ebsa/about-ebsa/ask-a-question/ask-ebsa Luke Bailey 1
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now