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COBRA is the popular name of the Consolidated Omnibus Budget Reconciliation Act of 1985. The Act mandates that employers (with more than 20 employees on 50% of the business days of the previous year) continue health care coverage for employees enrolled in the benefit plan for a certain number of months (usually 18) after they suffer a loss of health care benefits. The loss of benefits is usually caused by termination of employment or a reduction in hours that makes employees ineligible for the benefit plan. All persons covered by a plan, including spouses and children, for example, are eligible for COBRA. Health care continuation coverage premiums are paid in full by the employee, and the employer may charge the employee 2% of the premium for administrative costs. The Act mandates the length of time employees have to elect COBRA benefits, response time for employers, and what notices must be provided.
Penalties for non-compliance: Under ERISA, for failure to provide notice -- $100 per day per violation until notice is provided, to employees or beneficiaries. Under the Internal Revenue Code, excise tax of $100 per day per violation for each qualified beneficiary during the non-compliance period. A qualified beneficiary who did not receive coverage can bring a lawsuit against the employer.
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