COBRA Deadlines at a Glance
| Step | Deadline |
|---|---|
| Employer tells the plan about a job loss, cut in hours, death or Medicare entitlement | 30 days after the event |
| You tell the plan about a divorce, legal separation or a child aging out | Usually 60 days (check your plan) |
| Plan sends you the election notice | 14 days after it learns of the event |
| You elect COBRA | At least 60 days from the notice or the coverage loss, whichever is later |
| First premium payment | 45 days after you elect |
| Later monthly payments | Due dates set by the plan, with a 30-day grace period |
| Marketplace plan instead | Within 60 days before or after losing job coverage |
How Long COBRA Lasts
| Reason | Who can keep coverage | Maximum |
|---|---|---|
| Job ends (not for gross misconduct) or hours are cut | Employee, spouse, children | 18 months |
| Disability extension | Everyone on the plan, if one person is disabled | 29 months |
| Divorce, legal separation, employee's death, employee gets Medicare | Spouse and children | 36 months |
| Child is no longer a dependent | That child | 36 months |
COBRA applies to employers with 20 or more employees. Many states have mini-COBRA laws for smaller employers, so check with your state insurance department.
Ways to Cut the Cost
- Check the Marketplace. If your income dropped, you may get tax credits. See where you stand with our federal poverty level calculator.
- Join a spouse's plan. Losing coverage lets you join within 30 days.
- Drop people who have other coverage. Each person on the plan can choose COBRA on their own.
- Use the retroactive window. You have 60 days to elect, and coverage reaches back to the day it ended. Keep the deadlines on your calendar.
Need help with a bill you got while between plans? Use our patient responsibility calculator.
Sources: U.S. Department of Labor, Employee Benefits Security Administration, An Employee's Guide to Health Benefits Under COBRA (September 2022); HealthCare.gov special enrollment rules; IRS Form W-2 instructions (box 12, code DD). General information, not legal advice.
Frequently Asked Questions
Written by Hassan Raza Awan
Founder — LegitMedBilling & IT Solutions
Hassan has 4+ years of hands-on U.S. medical billing experience — working claims, denials, credentialing, and payer follow-up for practices across the United States. Every guide he publishes is written from real remittances and payer behavior, not theory.
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