4 Health Insurance Benefits Plus ‘COBRA’: Keeps Every Employee Relaxed

Of all other things that keeps me worried, one major concern that remains is- what if I am laid-off by my employer? Losing my job not only stops my earning until I have found myself a new one, but also puts my family’s happy dwelling at stake. Things get worse when I haven’t been able to find a replacement.

Of course, all of us do calculate these risks and keep ourselves prepared for the high priority life requirements. Yet, there are these sudden occurrences, like some illness or accident, which we cannot calculate from before and stay absolutely prepared. Situations such as these call for investing in health insurance etc. We all as employees receive some sort of employer-sponsored health coverage for our protection and our immediate family. The fact is that most of the working population in USA depend on their health insurance plans that their companies provide.

Every employer, whether a small- or mid-cap business or a big brand tries to keep its employees well protected. In a survey from the census board, the following statistics about employed population in USA (2014) was found:

  • Having government health insurance plan: 20.7% or 40,624
  • Having any health insurance plan: 85.4% or 167,600
  • Employed population between 18 and 64 the U.S.: 196,254
  • Having private health insurance plan: 66.7% or 130,901
  • Those who remain uninsured: 14.2% or 27,868

For those with employer-sponsored health insurance plans, there is always a fear of losing the coverage in case the job is laid. It’s here that the employees need to thank COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985). This Act has helped many fathers stop worrying how he will afford emergency healthcare for his children when he has no job, hence, no family coverage.

Consolidated Omnibus Budget Reconciliation Act of 1985- COBRA

There was a time when a health insurance covered by the employer, in other words, a corporate health insurance plan, provided no relief to the employee. The employee was always concerned about his and his family’s medical coverage in the event he was fired from job, got divorced, or changed jobs.

In the event of employee covered under COBRA, if he is losing group insurance due to changing life events, he can still continue to remain under his employer’s group health insurance plan. However, he has to pay the entire premium amount (including employer contribution) for a limited time (18 months).

COBRA

Not quite confident about considering COBRA as your healthcare protection still? Take a peek at the benefit an employee gets through this plan:

  • With COBRA- a group medical plan is a special kind of arrangement made available by the employer or is maintained by him. Here employee and his family receives medical care through the employer even when he/she has lost the job, for 18 months from his leaving the company-
    • From employer assets
    • Through insurance
    • Health care organization
    • Typical group health plan*** (Medical care)
     

    Medical care under group health insurance plan*** include:

    • Vision care and dental health
    • Prescription medicines
    • Visit to the physician
    • Surgery, major medical performances
    • Outpatient and inpatient care
     

    Apart from COBRA coverage, there are 4 more essential benefits employees are required to be provided by law by the employer:

  • Family and medical leave Act (FMLA)- This act can be confusing for employees at times. The act mandates the employer to provide 12 weeks of work-time off (unpaid) within a period of 12 months. This leave is to help employees protect themselves from getting fired while caring for them or their immediate family’s health. The act includes child birth, also placing for foster care or adoption of a child. The FMLA allows the employer the discretion of offering either unpaid leave or paid leave as an optional benefit plan as well.
  • Compensation for workers- This offers insurance benefits to all those employees who are taken ill while they are employed. The benefit also goes to those who get injured while at work. The health insurance plan differs according to state and the dictations are made at state level. Certain states also mandate employers to buy disability insurance.
  • Taxes (Social security)- The tax has to be paid on the employees, the current rate being 6.2%. This tax is jointly paid by both the employer and employee. An addition of 1.45% is added as Medicare tax.
  • Unemployment Insurance- This health insurance plan offers compensation to employees who have lost jobs for no fault of theirs. The state is at discretion to implement the caps for the unemployment insurance plans. This necessitates the employer to register his company with the workforce agency of his state. It is at this agency where he is informed about the state’s requirements.

Help is not far away, nor it is very difficult to receive. However, you must keep yourself abreast of whatever is happening around you and your workplace. A health remains a major concern for all, it is always better to find out what kind of support can come your way through the place that employs you. As for COBRA, you need to decide if you wish to contribute a little more only in case of the need to arise, or you remain uninsured and under constant paranoia of risk befalling on you. 



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