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Health insurance continuation coverage — Maryland

Federal insurance continuation requirements

The Consolidated Omnibus Budget Reconciliation Act (COBRA) is a federal law that requires that most employers extend group health plan coverage to covered employees, spouses and/or dependents that would otherwise lose coverage.

Coverage

All employers who maintain a group health plan are subject to COBRA rules unless either of the following situations are applicable:

  1. The employer employed fewer than 20 employees (counting full-time and part-time) on a typical business day during the previous calendar year. Part-time employees are counted as partial employees. Also, for purposes of the 20-employee threshold, employees of related companies are grouped together.
  1. The employer is a governmental entity or a church.
    • Note: State and local governmental employers may be subject to similar rules under the Public Health Services Act.

COBRA covers only group healthcare plans, including the following:

  • medical
  • dental
  • vision
  • prescription drugs
  • health maintenance organizations
  • health insurance flexible spending accounts (these plans are subject to special limitations under the COBRA rules).

Disability income...


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