COBRAFlex

COBRA mandates that any organization with 20 or more full or part-time employees offer a “temporary continuation” of group health, Health Reimbursements Arrangement (HRA) and Flexible Spending Accounts (FSA) benefits to employees (and covered dependents) upon experiencing a qualifying event. 

Additionally, state Legislators have created continuation which mandates continuation for organizations

offering group health and welfare plans with less than 20 employees.

• COBRA compliance eliminates huge penalty considerations caused by delinquent processing. Under statutory law, failure to issue timely notifications is $110 per day
• COBRA solutions offer continuation of coverage to avoid employer liability and legal fees in the event of uninsured medical claims
• COBRAFlex is a comprehensive solution, updating model forms for COBRA and state continuation
• COBRAFlex takes emotional situations and converts them to fact based responses to qualified beneficiaries (QBs)

COBRAFlex is a comprehensive solution that helps organizations navigate COBRA administration and ensure compliance. Under COBRA, employees and covered dependents are entitled to continue group health, Section 105, and Section 125 benefits during qualifying circumstances. Non-compliance can result in penalties and financial risks for employers. With COBRAFlex, all aspects of COBRA administration are handled, providing streamlined processes, compliance assurance, and timely reporting for employers.

Streamlined Administration

COBRAFlex manages all necessary communications, notices, forms, and record-keeping, minimizing administrative burden for employers.

Compliance Assurance

By outsourcing COBRA administration to COBRAFlex, employers gain peace of mind. COBRAFlex stays up to date with the latest regulations and rulings, providing compliance proof during IRS or Department of Labor audits.

Timely Reporting

Employers provide relevant information, such as eligible plan members, qualifying events, and plan changes. COBRAFlex handles accurate and efficient reporting.

Eligible Group Benefits Covered

COBRAFlex extends its administration services to various group benefits, including medical health plans, health care reimbursement arrangements, vision and dental plans, Section 125 health flexible spending accounts, health reimbursement arrangements, and more.

Benefits of COBRAFlex

Eliminate frustration and minimize liability associated with COBRA administration. Avoid collections and stay compliant with evolving regulations. Ensure smooth processes and accurate reporting for your organization.

*Please note that state continuation laws may vary. Partnering with COBRAFlex can optimize your COBRA administration and provide peace of mind.

• You notify and we generate COBRA notification letters, enrollment forms, Certificates of Coverage, and the calculated premium due.
• Generate a waiver of coverage letter, allowing QBs to indicate that they do not wish to participate in COBRA coverage as part of the Cobra Election Notice package.
• Print and mail rate-change notices to all plan participants.
• Generate a periodic eligibility confirmation letter, verifying continued eligibility.
• Generate a letter to QBs notifying them that the end of their COBRA coverage term is near, and then generate another Termination letter after the end of their COBRA continuation.
• Generate a letter when a QB turns 65, reminding them of Medicare eligibility.
• Generate a letter notifying insurance carriers when a QBs enrolls or terminates from a plan.
• For returned checks, the system can generate an N.S.F. letter, assess fees and generate bills.
• Generate late payment notices.
• A COBRA General Notice for the Carrier / Sponsor is generated when each newly eligible employee and dependent name is entered.
• View and re-print letters on a per-QB basis or view the entire correspondence history.

• Automatically track the enrollment period and first payment period for each QB and print a termination letter if enrollment forms or payments are not received within the proper timeframe.
• Allow the user to assign QBs to departments.
• Give each dependent the choice to enroll in each available employee benefit plan, and automatically adjust premium payments due accordingly.
• Tracking of secondary qualifying events for spouse / dependents.
• Coordinate the application of state continuation laws with Federal COBRA.
• Review key COBRA information on-line via the web.
• Electronically notify / confirm Qualifying Event COBRA Election Notification and Terminations to employers.

• Calculate the appropriate administrative fee.
• Prorate premiums for the first or last month of COBRA coverage, when necessary.
• Generates monthly premium notices or coupons or allow QBs to elect to participate in direct bank drafts.
• Automatically adjust premium invoice for a premium subsidy.
• Accurately manage the ARRA premium subsidy.
• Reimburse employers for premiums collected on a quarterly basis.