Glossary

COBRA

A federal law letting workers and families keep their employer's group health coverage for a limited time after a job loss or other qualifying event.

Also called: COBRA continuation coverage, Consolidated Omnibus Budget Reconciliation Act, group health continuation coverage

COBRA, from the Consolidated Omnibus Budget Reconciliation Act of 1985, requires most employer group health plans to offer continuation coverage when a qualifying event would otherwise end it. Qualifying events include termination (other than for gross misconduct), reduced hours, death of the employee, divorce or legal separation, Medicare entitlement and a child aging out. It applies to employers with at least 20 employees on more than half of typical business days in the prior year; many states have "mini-COBRA" laws that reach smaller employers.

Maximum periods are 18 months for termination or reduced hours, 29 months with a disability extension, and 36 months for other events. The person can be charged up to 102% of the plan's cost, or up to 150% during the disability extension. The employer notifies the plan administrator, who sends an election notice. The person then has 60 days to elect and 45 days after electing to pay the first premium.

For employers the risk is compliance: late or missing notices create statutory penalties and lawsuits, and a terminated worker's uncovered claims can land on the company. Many firms hand the administration to a third-party administrator or their benefits vendor. See the guide on COBRA continuation coverage: what employers must do for the notice timeline and cost math, and ERISA for the larger framework.

Last reviewed October 10, 2026

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