California law is now updated relating to the Cal-COBRA subsidy for employers with 2-19 employees. Specifically:
(1) An insurer may request verification of the involuntary termination of a covered employee’s employment from the covered employee’s former employer or the qualified beneficiary seeking premium assistance under the American Recovery and Reinvestment Act subsidy.
(2) An insurer that requests verification pursuant to paragraph (1) directly from a covered employee’s former employer shall do so by providing a written notice to the employer. This written notice shall be sent by mail or facsimile to the covered employee’s former employer within seven business days from the date the insurer receives the qualified beneficiary’s election notice.
(3) Within 10 calendar days of receipt of written notice required by this paragraph, the former employer shall furnish to the insurer written verification as to whether the covered employee’s
employment was involuntarily terminated.
(4) A qualified beneficiary requesting premium assistance under the subsidy program may furnish to the insurer a written document or other information from the covered employee’s former employer indicating that the covered employee’s employment was involuntarily terminated. This document or information shall be deemed sufficient by the insurer to establish that the covered employee’s employment was involuntarily terminated, unless the insurer makes a reasonable and timely determination that the documents or information provided by the qualified beneficiary are legally insufficient to establish involuntary termination of employment.
(5) If an insurer requests verification and cannot verify involuntary termination of employment within 14 business days from the date the employer receives the verification request or from date the insurer receives documentation or other information from the qualified beneficiary, the insurer shall either
provide continuation coverage with the federal premium assistance to the qualified beneficiary or send the qualified beneficiary a denial letter which shall include notice of his or her right to appeal that determination pursuant to the ARRA.
(6) No person shall intentionally delay verification of involuntary termination of employment under this subdivision.
Be sure to get in touch with your insurance carrier if you are a CalCOBRA employer. Understand what the agreement between you and your carrier requires regarding who must send required notices, handle payments, etc.
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