Most employers are familiar with the federal COBRA law. However, many may not be aware that most states have also passed their own version of COBRA, popularly called mini-COBRA laws. While many of these laws are similar to federal COBRA, there can be important differences.

What employers have to comply with Massachusetts mini-COBRA?

 

Massachusetts mini-COBRA applies to employer group health plans of employers with 2-19 employees.

What are the qualifying events?

 

Massachusetts mini-COBRA qualifying events are similar to federal COBRA. A qualifying event includes:

  • Termination of employment (except for gross misconduct)
  • Reduction of hours resulting in a loss of coverage
  • Divorce or legal separation
  • Death of employee
  • Entitlement to Medicare (employee only)
  • Loss of dependent status for a dependent child
  • Bankruptcy of the employer

Length of continuation coverage depends on the qualifying event.

Qualifying Event

Qualified Beneficiary

Length of Continuation Coverage

Death of employee

Spouse and/or dependent child

36 months

Termination of employment

Employee, spouse, and/or dependent child

18 months

Reduction of hours

Employee, spouse, and/or dependent child

18 months

Divorce or legal separation

Spouse and/or dependent child

36 months

Entitlement to Medicare

Spouse and/or dependent child

36 months

Loss of dependent status

Dependent child

36 months

 

Who is a qualified beneficiary?

 

A qualified beneficiary is an employee, spouse or dependent that is covered one the date of the qualifying event.

Are there notice requirements?

 

Small group carriers are generally required to provide qualified individuals with a notice of their continuation coverage rights.