Forgotten Health Insurance Consumers: eHealthInsurance Highlights Challenges Facing Millions Not Eligible for COBRA Subsidy

• Those who worked for companies with fewer than 20 employees – Even when these companies offer group health insurance plans for employees, federal law does not require that they offer COBRA coverage to departing or laid off workers (state laws may vary).
• Those whose employers offered no group health plan – Smaller companies, which employ more than half of all private sector workers in America², are less likely than larger firms to offer group health insurance plans.  Laid-off workers who were offered no health benefits during employment are not eligible for COBRA or the federal subsidy.
• Those who were employed part-time – Part-time workers who lost their jobs and did not qualify for their employer’s group health insurance plans while employed are not eligible for COBRA coverage or the subsidy.
• Those who worked for companies that went out of business – Millions of businesses have shut their doors since the recession began in 2007³.  Employees laid off as a result of closures are not eligible for COBRA.
• Those who voluntarily left their jobs – Workers who may have seen the writing on the wall and left before a lay-off are ineligible for the federal subsidy, though they may still qualify for COBRA if they pay the full premium on their own.

• Those for whom even subsidized COBRA is too expensive – While the federal COBRA subsidy covers 65% of the monthly COBRA premium for up to 15 months, COBRA coverage is still too expensive for many Americans.  The average COBRA premium paid by families receiving the federal subsidy is $389 per month⁵.  eHealthInsurance has identified over twenty states⁶ where families can save at least $500 a year on average by purchasing a family health insurance plan on their own instead of enrolling in subsidized COBRA⁷.  (For dollar comparisons of privately purchased plans and subsidized COBRA premiums for families, see eHealth’s December 9, 2009 press release; for comparisons of individual premiums, see eHealth’s December 16, 2009 press release.)
• Those who want a permanent health insurance solution – Included in this group are many of the recession’s “accidental entrepreneurs” who have gone into self-employment after losing their jobs.  They know that COBRA is not designed to provide a permanent health insurance solution for laid-off workers and their families.  For most, eligibility for COBRA coverage expires after 18 months.  The diagnosis of new medical conditions while one is covered under COBRA may make it more difficult to qualify for individual or family health insurance later. 

• Research your health insurance options through an online resource like eHealthInsurance.com. If you have questions, call a licensed agent at 1-800-977-8660.
• If you've never purchased your own health insurance before, get a quick start by using free online resources like eHealthInsurance's "Health Insurance Buyer's Guide."
• If you have a pre-existing medical condition or are unable to afford health insurance, talk to a licensed agent or contact the non-profit Foundation for Health Coverage Education at http://www.CoverageForAll.org to determine what free or low-cost health care options you may qualify for in your state.
• If you have medical debt or need help understanding your rights, eHealthInsurance encourages you to review Families USA's consumer guide: Your Medical Bills: A Consumer's Guide to Coping with Medical Debt.