COBRA Administration Clause Samples
The COBRA Administration clause outlines the responsibilities and procedures for managing continuation of health insurance coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) when an employee experiences a qualifying event, such as termination or reduction in work hours. This clause typically specifies which party—employer or third-party administrator—will handle notifications, premium collections, and recordkeeping related to COBRA coverage. Its core practical function is to ensure compliance with federal law by clearly assigning administrative duties, thereby protecting both the employer and employees from lapses in health coverage and potential legal penalties.
COBRA Administration. ▇▇▇▇▇▇ agrees to assist the Employer in meeting the Employer’s responsibilities with respect to the continuation of health coverage required by Federal law or similar state laws (hereinafter referred to as “COBRA”) for the health plan(s) maintained by the Employer listed on Schedule 1 attached hereto (collectively referred to as the “Plan”), for the fees set forth in Exhibit A hereto as amended from time to time by ▇▇▇▇▇▇.
COBRA Administration. If you want isolved Benefit Services to process premium remittances and carry out other related activities, please complete the following information. Providing this information allows for quicker reimbursements.
COBRA Administration. If you want isolved Benefit Services to process premium remittances and carry out other related activities, please complete the following information. Providing this information allows for quicker reimbursements. • On a monthly basis, isolved Benefit Services will generate and deliver Premium Remittance Reports through our secure website (i.e., the Download Center). These reports will be available to the client on the first business day of each month and will identify the remittance amount that will be sent by direct deposit. • isolved Benefit Services will send direct deposits of premiums within five business days of the delivery of the Premium Remittance Report. isolved Benefit Services will also generate and deliver any Voucher Premium Invoice Reports through the Download Center on the first business day of each month. • isolved Benefit Services may deduct fees from your remittance (saving you time and cost of generating a check back to us) in the event that funds are required from the company for payment of remittance related activity, including but not limited to, Voucher Premium Invoice Adjustment, Refund Adjustment or NSF Adjustment. In the case where fees are deducted from your remittance, please refer to additional report documentation(s) at the time of the deduction. Company name (Employer): isolved Benefit Services Company #: Opt Out: I request Premium Remittances via a paper check. I am aware of a $10 fee, per check, as a handling charge will be deducted for each remittance that is sent via a paper check. Depository Name: Branch: City: State: Zip: Transit/ABA Number (Must be 9 digits): Account Number: This Banking Authorization is hereby incorporated into the service agreement between the parties, and this Banking Authorization supersedes the terms and conditions of the service agreement to the extent that it contradicts any provisions related to premium collection services. This authority is to remain in full force and effect until isolved Benefit Services has received written notification from the above name d company of its termination in such time and in such manner as to afford isolved Benefit Services and depository a reasonable opportunity to act on it. By your signature below, you agree that isolved Benefit Services is not responsible for any unauthorized access to an account that is beyond its reasonable control. Signed: Date: Printed Name Title Phone 1. PREAMBLE AND DEFINITIONS. Pursuant to the Health Insurance Portability and Account...
COBRA Administration. The TPA is responsible for providing full administration of the COBRA, including, but not limited to:
1. Distributing Initial Notice of Continuation of Coverage to new employees;
2. Maintenance of all COBRA eligibility;
3. Automated process for sending out COBRA notifications after employee termination;
4. Ability for participants to electronically enroll in COBRA;
5. Electronic monitoring of COBRA notification errors; mailing hardcopy notices if needed;
6. Receipt and maintenance of rejection forms;
COBRA Administration. The Plan Administrator shall be responsible for the administration of COBRA continuation coverage under the Plan in accordance with applicable law, including issuing all required COBRA notices; however, each Participating Employer shall be responsible for timely communicating to the Plan Administrator of the occurrence of all COBRA qualifying events involving the employees (and any covered dependents) of such Participating Employer.
COBRA Administration. P&A agrees to assist the Employer in meeting its responsibilities under the COBRA law, which requires the Employer to offer continuation coverage to certain individuals who lose coverage under one or more group health plans of the Employer. P&A shall provide this assistance by providing those administrative services described in Section 2 of this Agreement with respect to those group health plans and coverage options listed on Schedule A (collectively referred to as the "Plan").
COBRA Administration. HRASimple shall provide required notices to employees whose coverage terminates, including election notices, which shall advise Participants of their rights under current laws and the Initial Election Period described by applicable law. HRASimple shall issue instructions for making the required premium payments and maintaining coverage for every Qualified Beneficiary who elects the continuation of coverage under applicable law within the time frames set forth under COBRA. HRASimple shall receive, account for, and appropriately distribute any payments received from the Qualified Beneficiary. HRASimple shall notify Qualified Beneficiaries of any changes advised by the Employer regarding the amount Qualified Beneficiaries must pay to maintain their coverage under the Plan. HRASimple will retain any administrative fees charged to Participants and permitted under applicable law for COBRA continuation premium.
COBRA Administration. The Plan Administrator is responsible for all aspects of COBRA Administration; provided, however, the Plan Administrator may delegate its duties and responsibilities with respect to COBRA to a service provider selected by the Plan Administrator. If requested by the Plan Administrator, BCBSNC will assist in arranging for COBRA administration services to be provided to the Plan Administrator by an outside COBRA administrator, which may be Ceridian COBRA Continuation Services or another vendor selected by the Plan Administrator. Notwithstanding any contrary provision of this Agreement, the Plan Sponsor and the Plan Administrator understand and acknowledge that BCBSNC does not assume any responsibility hereunder for COBRA administration services or for determining an individual’s eligibility for COBRA coverage.
COBRA Administration. On October 25, 2020, and monthly thereafter, Benefitfocus will invoice Client based upon the greater of: (i) the respective monthly minimum fees stated above; or (ii) for the actual population of Covered Employees, as defined in the Cobra Appendix, loaded within the COBRA Application multiplied by the applicable PCEPM rate. Covered Employees shall be counted as of the last day of the prior month, but for the first month, the count shall be determined by the initial data load.
COBRA Administration. BRMS shall provide COBRA administration services to CITY for all health plans provided to CITY employees and retirees, including but not limited to, Kaiser, Dental and Vision benefit plans as follows: