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State Laws on Insurance Continuation

In addition to the federal COBRA law, state laws also give employees the right to continue health insurance after a job ends.

By , Lawyer and Journalist

If you lose your job, you may be worried about the health insurance coverage you receive through your employer.

A federal law, the Consolidated Omnibus Budget Reconciliation Act (COBRA), gives eligible employees the right to continue their health insurance if they would otherwise lose that opportunity due to job loss or a cut in hours that brings them below the employer's coverage threshold.

For information on COBRA, see COBRA: Continuing Health Insurance After a Job Loss.

State COBRA Laws

Because COBRA generally cannot be enforced by any means other than a complex and expensive lawsuit, state laws that give former employees the right to continue group health insurance coverage after leaving a job are often a better alternative.

State laws often provide interesting twists that make it easier to get continued coverage. However, for an employee to be eligible for continued coverage, most state laws require that he or she must be covered for a certain time—three months is common—just before being terminated. In nearly all instances, any continuation of coverage will be at your expense, just as it would be under COBRA.

Even if your state does not have a law that gives you the right to continue group health care coverage after employment ends, it may have a law that requires health insurance companies to offer you the option of converting your group policy to individual coverage.

Individual coverage typically is much more expensive than group coverage—and the coverage limits are usually much lower than those offered under group coverage. For example, a group health insurance policy often will not have any limit on total benefits paid during your lifetime, while individual coverage often limits total lifetime benefits to $500,000. However, laws that give you the right to convert to individual health coverage usually do not require you to lose your job to be eligible.

What If Your Employer Cancels Your Health Insurance?

If your employer cancels your group health care coverage but continues to employ you—an increasingly common situation—these laws can give you the right to convert to individual coverage until you can find a better insurance deal or a job with better health insurance benefits.

You can usually find the laws guaranteeing you the right to convert group health insurance coverage to individual coverage among the statutes governing your state's insurance industry. Some states have a consumer complaint section in their insurance departments that can help you with this.

The chart below provides some general information on state insurance continuation laws. For more details (and to make sure you have the most up to date information), contact your state's insurance department. In addition, the plant closing laws of a few states may give you the right to continue group health insurance coverage.

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CAUTION

Additional laws may apply. If the chart below indicates that your state has no statute, this means there is no law that specifically addresses the issue. However, there may be a state administrative regulation or local ordinance that does control. Contact your state insurance commission or state labor department for more information.

State Health Insurance Continuation Laws

Alabama

Ala. Code § 27-55-3(4)

Special situations: 18 months for subjects of domestic abuse, who have lost coverage they had under abuser's insurance and who do not qualify for COBRA.

Arizona

Ariz. Rev. Stat. § § 20-1377, 20-1408

Employers affected: All employers who offer group disability insurance.

Length of coverage for dependents: Insurer must either continue coverage for dependents or convert to individual policy upon death of covered employee or divorce. Coverage must be the same unless the insured chooses a lesser plan.

Qualifying event: Death of an employee; change in marital status.

Time employer has to notify employee of continuation rights: No provisions for employer. Insurance policy must include notice of conversion privilege. Clerk of court must provide notice to anyone filing for divorce that dependent spouse entitled to convert health insurance coverage.

Time employee has to apply: 31 days after termination of existing coverage.

Arkansas

Ark. Code Ann. § § 23-86-114 to 23-86-116

Employers affected: All employers who offer group health insurance.

Eligible employees: Continuously insured for previous 3 months.

Length of coverage for employee: 120 days.

Length of coverage for dependents: 120 days.

Qualifying event: Termination of employment; death of insured employee; change in insured's marital status.

Time employee has to apply: 10 days.

California

Cal. Health & Safety Code § § 1373.6, 1373.621; Cal. Ins. Code § § 10128.50 to 10128.59

Employers affected: Employers who offer group health insurance and have 2 to 19 employees.

Eligible employees: All covered employees are eligible.

Length of coverage for employee: 36 months.

Length of coverage for dependents: 36 months.

Qualifying event: Termination of employment; reduction in hours; death of employee; change in marital status.

Time employer has to notify employee of continuation rights: 15 days.

Time employee has to apply: 31 days after group plan ends; 30 days after COBRA or Cal-COBRA ends (63 days if converting to an individual plan).

Special situations: Employee who is at least 60 years old and has worked for employer for previous 5 years, may continue benefits for self and spouse beyond COBRA or Cal-COBRA limits (also applies to COBRA employers). Employee who began receiving COBRA coverage on or after January 1, 2003, and whose COBRA coverage is for less than 36 months may use Cal-COBRA to bring total coverage up to 36 months.

Colorado

Colo. Rev. Stat. § 10-16-108

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 6 months.

Length of coverage for employee: 18 months.

Length of coverage for dependents: 18 months.

Qualifying event: Termination of employment; reduction in hours; death of employee; change in marital status.

Time employer has to notify employee of continuation rights: Within 10 days of termination.

Time employee has to apply: 30 days after termination; 60 days if employer fails to give notice.

Connecticut

Conn. Gen. Stat. Ann. § § 38a-538, 38a-554; 31-510

Employers affected: All employers who offer group health insurance.

Eligible employees: Full-time employees or employees who have either worked or expect to work 20 hours a week for at least 26 weeks in a 12-month period.

Length of coverage for employee: 18 months, or until eligible for Medicare benefits.

Length of coverage for dependents: 18 months, or until eligible for Medicare benefits; 36 months in case of employee's death or divorce.

Qualifying event: Layoff; termination of employment; reduction in hours; death of employee; change in marital status.

Time employer has to notify employee of continuation rights: 14 days.

Time employee has to apply: 60 days.

Special situations: When facility closes or relocates, employer must pay for insurance for employee and dependents for 120 days or until employee is eligible for other group coverage, whichever comes first. (Does not affect employee's right to conventional continuation coverage which begins when 120-day period ends.)

District of Columbia

D.C. Code Ann. § § 32-731 to 32-732

Employers affected: Employers with fewer than 20 employees.

Eligible employees: All covered employees are eligible.

Length of coverage for employee: 3 months or for the period of time during which the employee is eligible for ARRA subsidy.

Length of coverage for dependents: 3 months or for the period of time during which the employee is eligible for ARRA subsidy.

Qualifying event: Any reason employee or dependent becomes ineligible for coverage.

Time employer has to notify employee of continuation rights: Within 15 days of termination of coverage.

Time employee has to apply: 45 days after termination of coverage.

Florida

Fla. Stat. Ann. § 627.6692

Employers affected: Employers with fewer than 20 employees.

Eligible employees: Full-time (25 or more hours per week) employees covered by employer's health insurance plan.

Length of coverage for employee: 18 months.

Length of coverage for dependents: 18 months.

Qualifying event: Layoff; reduction in hours; termination of employment; death of employee; change in marital status.

Time employer has to notify employee of continuation rights: Carrier notifies within 14 days of learning of qualifying event (employer is responsible for notifying carrier).

Time employee has to apply: 30 days from receipt of carrier's notice.

Georgia

Ga. Code Ann. § § 33-24-21.1 to 33-24-21.2

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 6 months.

Length of coverage for employee: 3 months plus any part of the month remaining at termination; 9 months if eligible for ARRA subsidy.

Length of coverage for dependents: 3 months plus any part of the month remaining at termination; 9 months if eligible for ARRA subsidy

Qualifying event: Termination of employment (except for cause).

Special situations: Employee, spouse, or former spouse who is 60 years old and who has been covered for previous 6 months may continue coverage until eligible for Medicare. (Applies to companies with more than 20 employees; does not apply when employee quits for reasons other than health.)

Hawaii

Haw. Rev. Stat. § § 393-11, 393-15

Employers affected: All employers required to offer health insurance (those paying a regular employee a monthly wage at least 86.67 times state hourly minimum—about $1,040).

Length of coverage for employee: If employee is hospitalized or prevented from working by sickness, employer must pay insurance premiums for 3 months or for as long as employer continues to pay wages, whichever is longer.

Qualifying event: Employee is hospitalized or prevented by sickness from working.

Illinois

215 Ill. Comp. Stat. § § 5/367e, 5/367.2, 5/367.2-5

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 12 months for policies issued, delivered, amended, or renewed after 6/18/2009. This requirement doesn't apply to employees eligible for ARRA subsidy.

Length of coverage for dependents: 9 months (but see Special situations).

Qualifying event: Termination of employment; reduction in hours; death of employee; divorce.

Time employer has to notify employee of continuation rights: 10 days.

Time employee has to apply: 30 days after termination or reduction in hours or receiving notice from employer, whichever is later, but not more than 60 days from termination or reduction in hours.

Special situations: Upon death or divorce, 2 years' coverage for spouse under 55 and eligible dependents who were on employee's plan; until eligible for Medicare or other group coverage for spouse over 55 and eligible dependents who were on employee's plan. A dependent child who has reached plan age limit or who was not already covered by plan is also entitled to 2 years' continuation coverage.

Iowa

Iowa Code § § 509B.3, 509B.5

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 9 months.

Length of coverage for dependents: 9 months.

Qualifying event: Any reason employee or dependent becomes ineligible for coverage.

Time employer has to notify employee of continuation rights: 10 days after termination of coverage.

Time employee has to apply: 10 days after termination of coverage or receiving notice from employer, whichever is later, but no more than 31 days from termination of coverage.

Kansas

Kan. Stat. Ann. § 40-2209(i)

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 18 months.

Length of coverage for dependents: 18 months.

Qualifying event: Any reason employee or dependent becomes ineligible for coverage.

Time employer has to notify employee of continuation rights: 31 days from termination of coverage.

Kentucky

Ky. Rev. Stat. Ann. § 304.18-110

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 18 months.

Length of coverage for dependents: 18 months.

Qualifying event: Any reason employee or dependent becomes ineligible for coverage.

Time employer has to notify employee of continuation rights: Employer must notify insurer as soon as employee's coverage ends; insurer then notifies employee.

Time employee has to apply: 31 days from receipt of insurer's notice, but no more than 90 days after termination of group coverage.

Louisiana

La. Rev. Stat. Ann. § § 22:1045, 22:1046

Employers affected: All employers who offer group health insurance and have fewer than 20 employees.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 12 months.

Length of coverage for dependents: 12 months.

Qualifying event: Termination of employment.

Time employee has to apply: Must apply and submit payment before group coverage ends.

Special situations: Surviving spouse who is 50 or older may have coverage until remarriage or eligibility for Medicare or other insurance.

Maine

Me. Rev. Stat. Ann. tit. 24-A, § 2809-A

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: One year (either group or individual coverage at discretion of insurer).

Length of coverage for dependents: One year (either group or individual coverage at discretion of insurer). Upon death of insured, continuation only if original plan provided for coverage.

Qualifying event: Termination of employment.

Time employee has to apply: 90 days from termination of group coverage.

Special situations: Temporary layoff or work-related injury or disease: Employee and employee's dependents entitled to one year group or individual continuation coverage. (Must have been continuously insured for previous 6 months; must apply within 31 days from termination of coverage.)

Maryland

Md. Code Ann., [Ins.] § § 15-407 to 15-410

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 18 months.

Length of coverage for dependents: 18 months upon death of employee; upon change in marital status, 18 months or until spouse remarries or becomes eligible for other coverage.

Qualifying event: Involuntary termination of employment; death of employee; change in marital status.

Time employer has to notify employee of continuation rights: Must notify insurer within 14 days of receiving employee's continuation request.

Time employee has to apply: 45 days from termination of coverage. Employee begins application process by requesting an election of continuation notification form from employer.

Massachusetts

Mass. Gen. Laws ch. 175, § § 110G, 110I; ch. 176J, § 9

Employers affected: All employers who offer group health insurance and have fewer than 20 employees.

Eligible employees: All covered employees are eligible.

Length of coverage for employee: 18 months; 29 months if disabled.

Length of coverage for dependents: 18 months upon termination or reduction in hours; 29 months if disabled; 36 months on divorce, death of employee, employee's eligibility for Medicare, or employer's bankruptcy.

Qualifying event: Involuntary layoff; death of insured employee.

Time employer has to notify employee of continuation rights: When employee becomes eligible for continuation benefits.

Time employee has to apply: 60 days.

Special situations: Termination due to plant closing: 90 days' coverage for employee and dependents, at the same payment terms as before closing.

Minnesota

Minn. Stat. Ann. § 62A.17

Employers affected: All employers who offer group health insurance and have 2 or more employees.

Eligible employees: All covered employees are eligible.

Length of coverage for employee: 18 months; indefinitely if employee becomes totally disabled while employed.

Length of coverage for dependents: 18 months for current spouse; divorced or widowed spouse can continue until eligible for Medicare or other group health insurance. Upon divorce, dependent children can continue until they no longer qualify as dependents under plan. Upon death of employee, spouse and/or dependent children can continue for 36 months.

Qualifying event: Termination of employment; reduction in hours.

Time employer has to notify employee of continuation rights: Within 10 days of termination of coverage.

Time employee has to apply: 60 days from termination of coverage or receipt of employer's notice, whichever is later.

Special benefits: Additional subsidy available to those eligible for ARRA subsidy, if insured meets income limits.

Mississippi

Miss. Code Ann. § 83-9-51

Employers affected: All employers who offer group health insurance and have fewer than 20 employees.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 12 months.

Length of coverage for dependents: 12 months.

Qualifying event: Termination of employment; divorce; employee's death; employee's eligibility for Medicare; loss of dependent status.

Time employer has to notify employee of continuation rights: Insurer must notify former or deceased employee's dependent child or divorced spouse of option to continue insurance within 14 days of their becoming ineligible for coverage on employee's policy.

Time employee has to apply: Employee must apply and submit payment before group coverage ends; dependents or former spouse must elect continuation coverage within 30 days of receiving insurer's notice.

Missouri

Mo. Rev. Stat. § 376.428

Employers affected: All employers who offer group health insurance and are not subject to COBRA.

Eligible employees: All employees.

Length of coverage for employee: 18 months.

Length of coverage for dependents: 18 months if eligible due to termination or reduction in hours; 36 months if eligible due to death or divorce.

Qualifying event: Termination of employment; death of employee; divorce; reduction in hours.

Time employer has to notify employee of continuation rights: Same rules as COBRA.

Time employee has to apply: Same rules as COBRA.

Montana

Mont. Code Ann. § § 33-22-506 to 33-22-507

Employers affected: All employers who offer group disability insurance.

Eligible employees: All employees.

Length of coverage for employee: One year (with employer's consent).

Qualifying event: Reduction in hours.

Special situations: Insurer may not discontinue benefits to child with disabilities after child exceeds age limit for dependent status.

Nebraska

Neb. Rev. Stat. § § 44-1640 and following, 44-7406

Employers affected: Employers not subject to federal COBRA laws.

Eligible employees: All covered employees.

Length of coverage for employee: 6 months.

Length of coverage for dependents: One year upon death of insured employee. Subjects of domestic abuse, who have lost coverage under abuser's plan and who do not qualify for COBRA, may have 18 months' coverage (applies to all employers).

Qualifying event: Involuntary termination of employment (layoff due to labor dispute not considered involuntary).

Time employer has to notify employee of continuation rights: Within 10 days of termination of employment must send notice by certified mail.

Time employee has to apply: 10 days from receipt of employer's notice.

Nevada

Nev. Rev. Stat. Ann. § § 689B.245 and following, 689B.0345

Employers affected: Employers with fewer than 20 employees.

Eligible employees: Employees continuously insured for previous 12 months.

Length of coverage for employee: 18 months.

Length of coverage for dependents: 36 months; insurer cannot terminate coverage for disabled dependent child who is too old to qualify as a dependent under the plan.

Qualifying event: Involuntary termination of employment; involuntary reduction in hours; death of employee; divorce or legal separation; loss of dependent status; employee's eligibility for Medicare.

Time employer has to notify employee of continuation rights: 14 days after receiving notice of employee's eligibility.

Time employee has to apply: Must notify employer within 60 days of becoming eligible for continuation coverage; must apply within 60 days after receiving employer's notice.

Special situations: While employee is on leave without pay due to disability, 12 months for employee and dependents (applies to all employers).

New Hampshire

N.H. Rev. Stat. Ann. § § 415:18(VII)(g), (VII)(a)

Employers affected: Employers with 2 to 19 employees.

Eligible employees: All insured employees are eligible.

Length of coverage for employee: 18 months; 29 months if disabled at termination or during first 60 days of continuation coverage.

Length of coverage for dependents: 18 months; 29 months if disabled at termination or during first 60 days of continuation coverage; 36 months upon death of employee, divorce or legal separation, loss of dependent status, or employee's eligibility for Medicare.

Qualifying event: Any reason employee or dependent becomes ineligible for coverage.

Time employer has to notify employee of continuation rights: Within 15 days of termination of coverage.

Time employee has to apply: Within 31 days of termination of coverage.

Special situations: Layoff or termination due to strike: 6 months' coverage with option to extend for an additional 12 months. Surviving, divorced, or legally separated spouse who is 55 or older may continue benefits available until eligible for Medicare or other employer-based group insurance.

New Jersey

N.J. Stat. Ann. § § 17B:27-51.12, 17B:27A-27

Employers affected: Employers with 2 to 50 employees.

Eligible employees: Employed full-time (25 or more hours).

Length of coverage for employee: 18 months; 29 months if disabled at termination or during first 60 days of continuation coverage.

Length of coverage for dependents: 18 months; 29 months if disabled at termination or during first 60 days of continuation coverage; 36 months upon death of employee, divorce or legal separation, loss of dependent status, or employee's eligibility for Medicare.

Qualifying event: Termination of employment; reduction in hours; change in marital status; death.

Time employer has to notify employee of continuation rights: At time of qualifying event employer or carrier notifies employee.

Time employee has to apply: Within 30 days of qualifying event.

Special benefits: Coverage must be identical to that offered to current employees.

Special situations: Total disability: Employee who has been insured for previous 3 months and employee's dependents, entitled to continuation coverage that includes all benefits offered by group policy (applies to all employers).

New Mexico

N.M. Stat. Ann. § 59A-18-16

Employers affected: All employers who offer group health insurance.

Eligible employees: All insured employees are eligible.

Length of coverage for employee: 6 months.

Length of coverage for dependents: May continue group coverage or convert to individual policies upon death of covered employee or divorce or legal separation.

Qualifying event: Termination of employment.

Time employer has to notify employee of continuation rights: Insurer or employer gives written notice at time of termination.

Time employee has to apply: 30 days after receiving notice.

New York

N.Y. Ins. Law § § 3221(f), 3221(m)

Employers affected: All employers who offer group health insurance and have fewer than 20 employees.

Eligible employees: All covered employees are eligible.

Length of coverage for employee: 36 months.

Length of coverage for dependents: 36 months.

Qualifying event: Termination of employment; death of employee; divorce or legal separation; loss of dependent status; employee's eligiblity for Medicare.

Time employee has to apply: 60 days after termination or receipt of notice, whichever is later.

North Carolina

N.C. Gen. Stat. § § 58-53-5 to 58-53-40

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 18 months.

Length of coverage for dependents: 18 months.

Qualifying event: Termination of employment.

Time employer has to notify employee of continuation rights: Employer has option of notifying employee as part of the exit process.

Time employee has to apply: 60 days.

North Dakota

N.D. Cent. Code § § 26.1-36-23, 26.1-36-23.1

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 39 weeks.

Length of coverage for dependents: 39 weeks; 36 months if required by divorce or annulment decree.

Qualifying event: Termination of employment.

Time employee has to apply: Within 10 days of termination or of receiving notice of continuation rights, whichever is later, but no more than 31 days from termination.

Ohio

Ohio Rev. Code Ann. § § 3923.38, 1751.53

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months who were involuntarily terminated for reasons other than gross misconduct on the part of the employee.

Length of coverage for employee: 12 months.

Length of coverage for dependents: 12 months.

Qualifying event: Involuntary termination of employment.

Time employer has to notify employee of continuation rights: At termination of employment.

Time employee has to apply: Whichever is earlier: 31 days after coverage terminates; 10 days after coverage terminates if employer notified employee of continuation rights prior to termination; 10 days after employer notified employee of continuation rights, if notice was given after coverage terminated.

Oklahoma

Okla. Stat. Ann. tit. 36, § 4509

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees insured for at least 6 months. (All other employees and their dependents entitled to 30 days' continuation coverage.)

Length of coverage for employee: 63 days for basic coverage; 6 months for major medical at the same premium rate prior to termination of coverage (only for losses or conditions that began while group policy was in effect).

Length of coverage for dependents: 63 days for basic coverage; 6 months for major medical at the same premium rate prior to termination of coverage (only for losses or conditions that began while group policy was in effect).

Qualifying event: Any reason coverage terminates.

Special benefits: Includes maternity care for pregnancy begun while group policy was in effect.

Oregon

Or. Rev. Stat. § § 743.600 to 743.610

Employers affected: Employers not subject to federal COBRA laws.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 9 months.

Length of coverage for dependents: 9 months.

Qualifying event: Termination of employment.

Time employee has to apply: 10 days after termination or after receiving notice of continuation rights, whichever is later, but not more than 31 days.

Special situations: Surviving, divorced, or legally separated spouse who is 55 or older and dependent children entitled to continuation coverage until spouse remarries or is eligible for other coverage. Must include dental, vision, or prescription drug benefits, if they were offered in original plan (applies to employers with 20 or more employees).

Pennsylvania

PA Stat. 40 P.S. §764j

Employers affected: Employers that offer group health insurance and have 2 to 19 employees.

Eligible employees: Employees continuously insured for at least 3 months.

Length of coverage for employee: 9 months.

Length of coverage for dependents: 9 months.

Qualifying event: Termination of employment; reduction in hours; death of employee; change in marital status; employer's bankruptcy.

Time employer has to notify employee of continuation rights: 30 days after qualifying event.

Time employee has to apply: 30 days after receiving notice.

Rhode Island

R.I. Gen. Laws § § 27-19.1-1, 27-20.4-1 to 27-20-4-2

Employers affected: All employers who offer group health insurance.

Eligible employees: All insured employees are eligible.

Length of coverage for employee: 18 months (but not longer than continuous employment). Cannot be required to pay more than one month premium at a time.

Length of coverage for dependents: 18 months (but not longer than continuous employment). Cannot be required to pay more than one month premium at a time.

Qualifying event: Involuntary termination of employment; death of employee; change in marital status; permanent reduction in workforce; employer's going out of business.

Time employer has to notify employee of continuation rights: Employers must post a conspicuous notice of employee continuation rights.

Time employee has to apply: 30 days from termination of coverage.

Special situations: If right to receiving continuing health insurance is stated in the divorce judgment, divorced spouse has right to continue coverage as long as employee remains covered or until divorced spouse remarries or becomes eligible for other group insurance. If covered employee remarries, divorced spouse must be given right to purchase an individual policy from same insurer.

South Carolina

S.C. Code Ann. § 38-71-770

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 6 months.

Length of coverage for employee: 6 months (in addition to part of month remaining at termination).

Length of coverage for dependents: 6 months (in addition to part of month remaining at termination).

Qualifying event: Any reason employee or dependent becomes ineligible for coverage.

Time employer has to notify employee of continuation rights: At time of termination must clearly and meaningfully advise employee of continuation rights.

South Dakota

S.D. Codified Laws Ann. § § 58-18-7.5, 58-18-7.12; 58-18C-1

Employers affected: All employers who offer group health insurance.

Eligible employees: All covered employees.

Length of coverage for employee: 18 months; 29 months if disabled at termination or during first 60 days of continuation coverage.

Length of coverage for dependents: 18 months; 29 months if disabled at termination or during first 60 days of continuation coverage; 36 months upon death of employee, divorce or legal separation, loss of dependent status, employee's eligibility for Medicare.

Qualifying event: Termination of employment; death of employee; divorce or legal separation; loss of dependent status; employee's eligiblity for Medicare.

Special situations: When employer goes out of business: 12 months' continuation coverage available to all employees. Employer must notify employees within 10 days of termination of benefits; employees must apply within 60 days of receipt of employer's notice to or within 90 days of termination of benefits if no notice given.

Tennessee

Tenn. Code Ann. § 56-7-2312

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 3 months (in addition to part of month remaining at termination).

Length of coverage for dependents: 3 months (in addition to part of month remaining at termination); 15 months upon death of employee or divorce.

Qualifying event: Termination of employment; death of employee; change in marital status.

Special situations: Employee or dependent who is pregnant at time of termination entitled to continuation benefits for 6 months following the end of pregnancy.

Texas

Tex. Ins. Code Ann. Art. 1251.252 to 1251.255

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 9 months; for employees eligible for COBRA, 6 months after COBRA coverage ends.

Length of coverage for dependents: 9 months; for employees eligible for COBRA, 6 months after COBRA coverage ends.

Qualifying event: Termination of employment (except for cause); employee leaves for health reasons.

Time employee has to apply: 60 days from termination of coverage or receiving notice of continuation rights from employer or insurer, whichever is later.

Special situations: Layoff due to a labor dispute: employee entitled to continuation benefits for duration of dispute, but no longer than 6 months.

Utah

Utah Code Ann. § 31A-22-722

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 12 months.

Length of coverage for dependents: 12 months.

Qualifying event: Termination of employment; retirement; death; divorce; reduction in hours; sabbatical; disability.

Time employer has to notify employee of continuation rights: In writing within 30 days of termination of coverage.

Time employee has to apply: Within 30 days of receiving employer's notice of continuation rights.

Vermont

Vt. Stat. Ann. tit. 8, § § 4090a to 4090c

Employers affected: All employers who offer group health insurance and have fewer than 20 employees.

Eligible employees: All covered employees are eligible.

Length of coverage for employee: 18 months.

Length of coverage for dependents: 18 months.

Qualifying event: Termination of employment; reduction in hours; death of employee; change of marital status; loss of dependent status.

Time employer has to notify employee of continuation rights: Within 30 days of qualifying event.

Time employee has to apply: Within 60 days of receiving notice following the occurrence of a qualifying event.

Virginia

Va. Code Ann. § § 38.2-3541 to 38.2-3452; 38.2-3416

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 90 days; 9 months if involuntarily terminated during any period when ARRA subsidy is available.

Length of coverage for dependents: 90 days; 9 months if coverage lost due to involuntary termination of employee during any period when ARRA subsidy is available.

Qualifying event: Any reason employee or dependent becomes ineligible for coverage; for 9-month coverage provision: involuntary termination of employment.

Time employer has to notify employee of continuation rights: 15 days from termination of coverage; 30 days if eligible for ARRA subsidy.

Time employee has to apply: Must apply for continuation and pay entire 90-day premium before termination of coverage; 60 days if eligible for ARRA subsidy.

Special situations: Employee may convert to an individual policy instead of applying for continuation coverage (must apply within 31 days of termination of coverage).

Washington

Wash. Rev. Code Ann. § 48.21.075, 48.21.250, 48.21.260

Employers affected: All employers who offer and pay for group health insurance.

Eligible employees: Insured employees on strike.

Length of coverage for employee: 6 months if employee goes on strike.

Length of coverage for dependents: 6 months if employee goes on strike.

Qualifying event: Any reason employee or dependent becomes ineligible for coverage.

Special situations: Former employees may continue benefits for a period of time agreed upon with the employer. At the end of that time, the employee may then convert to an individual policy unless terminated for misconduct—in that case, employee's spouse and dependents may convert, but not employee.

West Virginia

W.Va. Code § § 33-16-2, 33-16-3(e)

Employers affected: Employers providing insurance for at least 2 employees.

Eligible employees: All employees are eligible.

Length of coverage for employee: 18 months in case of involuntary layoff.

Qualifying event: Involuntary layoff.

Wisconsin

Wis. Stat. Ann. § 632.897

Employers affected: All employers who offer group health insurance.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 18 months (or longer at insurer's option).

Length of coverage for dependents: 18 months (or longer at insurer's option).

Qualifying event: Any reason employee or dependent becomes ineligible for coverage.

Time employer has to notify employee of continuation rights: 5 days from termination of coverage.

Time employee has to apply: 30 days after receiving employer's notice.

Wyoming

Wyo. Stat. § 26-19-113

Employers affected: Employers not subject to federal COBRA laws.

Eligible employees: Employees continuously insured for previous 3 months.

Length of coverage for employee: 12 months.

Length of coverage for dependents: 12 months.

Time employee has to apply: 31 days from termination of coverage.

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