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Q: After my initial COBRA "activation payment" for August '07, I was subsequently never sent any monthly bills by my COBRA provider, (and was not aware that this would be the case). On 12/27 I received a termination notice via US Mail effective 10/1/07. I require COBRA due to being unemployed and having a pre-existing medical condition (blood clot recovery). I am appealing to the Benefits Appeal Committee. Question #1: Is there any Federal COBRA law/guidelines that state that a "reasonable attempt" needs to made to contact someone PRIOR to terminating them, (as if this would have been done I obviously would have reconciled my balance-due since I require medical insurance)? Question #2: How can my bills possibly be reconciled from 10/1/07 through 12/27/07 since I've been to numerous Doctors in this time-frame, my Blue Shield PPO card was accepted as being "live/viable/current" & my insurance carrier has paid out on the bills?
A: The previous employer or their 3rd party plan administrator does not have to send you a month statement for your COBRA premiums. They are not required under COBRA law to send you a past due notice if your payment has not been received by the due date. However, they do have to give you a 30 day grace period to make a late payment. If your COBRA is cancelled because you did not make a payment during your grace period, the employer or plan administrator does not have to re-instate your COBRA coverage.
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| Visitor Comments |
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Comment #1 (Posted by KAREN ROBERTS
)
June 6, 2008
Dear COBRA:
From the active date of 11/06 I have reason to believe that I was covered for COBRA insurance. During the time of coverage, I had service rendered to me with Maricopa Health Integrated Systems in Phoenix, Arizona. Also, a rep from COBRA had assured them that they will be paid for medical services that was provided to me.
Time has passed on, nothing has been resolved as to debt being paid for the amount of $500.00. Please check your records dated back on 11/06 to see if I was covered, and if so please send me a copy of billing so that the collection agency can stop calling me.
If there are any questions regarding this matter, please contact me at 602-258-6467.
Thank you!
Karen Roberts
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