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COBRA rules when you regain medical coverage

If an employee covered by COBRA obtains new employer-sponsored group coverage that contains a pre-existing condition exclusion, the pre-existing condition exclusion period will be reduced by the amount of time the qualified beneficiary had "creditable" coverage (if any). 

Creditable coverage means any of the following:

  • Most types of health plans or insurance coverage (including employer-sponsored group plans).
  • Medicare Part A or B.
  • Medicaid.
  • Health insurance under the federal government or the U.S. Armed Forces.
  • A medical care program of the Indian Health Service or of a tribal organization.
  • A state health benefits risk pool.
  • A public health plan as defined in government regulations.
  • A health benefit plan under section 5(e) of the Peace Corps Act.

The creditable coverage is applicable to the qualified beneficiary as of the enrollment date in the new employer-sponsored group plan, as long as there has been no interruption of coverage longer than 63 days.  

For additional important information, we encourage you to read: 

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Article Details

Article Details
  • Article ID: KB00014
  • Created:
    1/31/2011 4:58:57 PM
  • Last Modified:
    1/31/2011 4:58:57 PM

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