WebMy Premium Bill - COBRA and Direct Bill services Powered By WEX Health, Inc. WebTitle XXII of the Public Health Service (PHS) Act, 42 U.S.C. The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS) has jurisdiction with respect to the COBRA continuation coverage requirements of the PHS Act that apply to state and local government employers, including counties, municipalities and public school districts, and the group health plans that they sponsor. WebWhat is the Consolidated Omnibus Budget Reconciliation Act (COBRA)? Access your online COBRA billing portal from any device. Or you can mail a check to us. Log in to: Submit qualifying events View participant accounts Submit inquiries Access reports Process enrollment for participants Create initial/general notices This extends for 18 months, however, there are exceptions as to who is qualified. While COBRA is temporary, in most circumstances, you can stay on COBRA for 18 to 36 months. The Consolidated Omnibus Budget Reconciliation Act (COBRA) is a Federal law for continuation of group health care benefits. Log in with the registration code and your social security number. 1-844-PAYFLEX 30-day grace period After the initial 45-day grace period, enrollees will have a 30-day grace period from the premium due date to pay subsequent premiums. You can easily pay your eligible insurance premiums online. An official website of the United States government. Each qualified beneficiary then has 60 days to decide whether to elect continuation coverage. Many plans have $1 million in coverage after deductibles and coinsurance. WebThe team will collectively provide all day to day services that are required. Its available if: CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Log in to: Enroll in COBRA, Retiree/Direct Billing and more, Look up coverage, dependents, bills and payments, Make payments or set up automatic payments, Submit a question to dedicated support team. Skip to main content Insurance Plans Medicare and Medicaid plans Medicare For people 65+ or those under 65 who qualify due to a disability or special situation Medicaid COBRA is a federal law that requires employers with 20 or more fulltime employees to make available their group health insurance to former employees and families to continue on. Looking for other health insurance options? Our Technology Our solution is time-tested, innovative, and trusted in the industry to help clients handle complex regulations and carrier needs. COBRA stands for the Consolidated Omnibus Budget Reconciliation Act of 1985. WebCOBRA and Retiree Billing Administration. Your premium is now paid through 8/31/2019. WebCOBRA ADMINISTRATION + PREMIUM BILLING SERVICES. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} WebCOBRA ADMINISTRATION + PREMIUM BILLING SERVICES. COBRA offers an improved way to pay your bills online, check your account, and update your payment information. Q8: How is COBRA affected if I am disabled? 1-844-PAYFLEX Sign up to get the latest information about your choice of CMS topics. WebCOBRA/DB Fact Sheet: A description of the services you can expect from BRI COBRA & Direct Billing. This notification must be made in writing. There are time limits for this coverage. WebCOBRA and billing services COBRA Phone: Our customer support center is available for assistance from 7 a.m. to 6 p.m. (Central Time), Monday through Friday at (866) 343-8902. The following are qualifying events: the death of the covered employee; a covered employee's termination of employment or reduction of the hours of employment; the covered employee becoming entitled to Medicare; divorce or legal separation from the covered employee; or a dependent child ceasing to be a dependent under the generally applicable requirements of the plan. COBRA is a law that allows someone who has recently lost their job to maintain their original coverage provided by the previous employer. You wont be able to reset it on this website as COBRA is an employer responsibility and not an insurance company. Ask the Employee Benefits Division whether you will receive subsequent payment reminders. Typically, the person covered under COBRA pays for it. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. It's a federal law that gives employees and their covered dependents the right to continue group health benefits on a temporary basis. WebThe law the Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers who lose their health benefits the right to choose to continue group health benefits provided by the plan under certain circumstances. Employer Login. WebCOBRA coverage generally is offered for 18 months (36 months in some cases). As a bonus, direct billing is also a valuable benefit for employees who qualify for these services. Before sharing sensitive information, make sure youre on a federal government site. The bases for early termination of the period of COBRA coverage. WebCOBRAs primary purpose is to prevent a lapse in health insurance coverage. Top When you were an active employee, your employer may have paid all or part of your group health coverage. 300bb-1 through 300bb-8, applies COBRA requirements to group health plans that are sponsored by state or local government employers. You must notify the health plan that's been providing your COBRA coverage that you're no longer eligible for the subsidy. WebWEX simplifies COBRA and direct bill for clients through online elections and open enrollment, real-time payments, mailing required notices, robust reporting, seamless integrations, and more. Q13: What does a COBRA election notice include? Fee billed per enrolled participant. We make it our priority to communicate with you every step of the way to minimize the hassle of coordinating between Check your health plan documents. That first payment must cover the period of coverage from the date of the COBRA election back to the date of the loss of coverage. They cover why employers use direct billing services, how direct billing works with COBRA, and how both employers and employees benefit from using a third party to provide this administrative service. Note: Well only send documents via email, text or web alert that dont require a proof of mailing. administrative fee. Click on New User Registration. Qualified beneficiaries have independent election rights, and therefore they must each be notified. Improved billing. WebCOBRA may give you an insurance safety net between jobs. Direct billing for COBRA makes it easier for employers to adhere to the rules. Call Us At Plans can charge 150% of the group cost for the extended period of coverage. COBRA stands for the Consolidated Omnibus Budget Reconciliation Act. Call us at 1-877-837-5017 Email Support This is an update regarding your benefitexpress, LLC, a WEX Company account. COBRA Insurance is a federal law, not a company. Please select from the options below so we can better assist you. Youll need to log in. WebThe Consolidated Omnibus Budget Reconciliation Act (COBRA) provides certain former employees, retirees, spouses, former spouses, and dependent children the right to temporary continuation of health coverage at group rates. The election period is at least 60 days. Its usually for retirees, employees out on disability and those taking a leave of absence. 877-262-7241 Call Us At The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Note: As part of our efforts to further protect andsecure information, we are adding an additionalauthentication step for all online access by creatinga One Healthcare ID. Depending on the plan administrator, near the username and password fields there should be a link for Forgot Password? that will let you update your login credentials. Ask the employer's benefits administrator or group health plan about your COBRA rights if you find out your coverage has ended and you don't get a notice, or if you get divorced. WebCOBRA and Direct Billing COBRA COBRA is available when an employee would otherwise lose coverage due to certain qualifying events, such as: Voluntary/involuntary termination for reasons other than gross misconduct Reduction in hours worked by the covered employee Becoming eligible for Medicare BSC Benefits Team This extends for 18 months, however, there are exceptions as to who is qualified. 2023 PayFlex Systems USA, Inc. All Rights Reserved. The law generally covers group health plans maintained by employers with 20 or more employees in the prior year. Just log in and go to your account settings. WebWageWorks will manage carrier and billing updates. WebCOBRA/DB Fact Sheet: A description of the services you can expect from BRI COBRA & Direct Billing. WebWhether your retirees need help with their coverage options or retiree coverage billing, our professional customer service team can coordinate communications and billing for your retirees making the process simple and easy for both parties. If you haven't logged in previously or changed your email address you will have to go through the Email Validation process, Email Validation for COBRA Consumer Portal . We provide general information below, but if you have any questions regarding your disability and public sector COBRA, we encourage you to email us at phig@cms.hhs.gov. WebWhen you lose job-based insurance, you may be offered COBRA continuation coverage by your former employer. This coverage period provides flexibility to find other health insurance options. Albany, NY 12226-1900, This page is available in other languages. Skip to main content Insurance Plans Medicare and Medicaid plans Medicare For people 65+ or those under 65 who qualify due to a disability or special situation Medicaid You may be able to enroll in coverage through the Health Insurance Marketplace or Medicaid. Shannon Kennedy, Licensed Agent. COBRA Administration. WebCOBRA Administration & Billing Solution - COBRA Control Services Complete COBRA Administration Software Everything you need in the cloud for COBRA administration & compliance notifications, premium billing and collection, so you can concentrate on your business and leave the rest to us. COBRA can help those who need health coverage during the time between losing job-based coverage and beginning other health coverage. ( COBRAinsurance.com does not endorse, and expressly disclaims liability for any product, manufacturer, distributor, service, health marketplace, health plan, or service provider mentioned or any opinion expressed in the website. The Centers for Medicare and Medicaid Services (CMS) has advisory jurisdiction over the continuation coverage requirements of COBRA as they apply to group health plans which are sponsored by state, county, municipal, or public school districts (Public Sector My COBRA Plan Is With Aetna, Where Do I Start? You must receive it within 14 days after the plan administrator receives notice of your qualifying event. The Consolidated Omnibus Budget Reconciliation Act (COBRA) is a federal law that allows enrollees and their families to continue their health coverage in certain instances when coverage would otherwise end. Vision starts at $5 per month and Dental plans are around $1/day, COBRA Insurance Knowledge Base General insurance information provided on COBRA Insurance Website is not intended to substitute for informed professional medical, psychological, tax, legal, investment, accounting, governmental, or other professional advice. Its a federal law that protects you and your covered dependents. [CDATA[/* >