Eligibility — COBRA

Employee Eligibility
Spouse or Domestic Partner Eligibility
Dependent Child Eligibility

 

Employee Eligibility

An employee covered by a CSU health plan has a right to choose continuation coverage if group health coverage is lost because:

  1. Of a reduction in work hours; or
  2. The termination of employment (other than due to gross misconduct).

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Spouse or Domestic Partner Eligibility

A spouse or domestic partner of an employee, covered by a CSU health plan, has the right to choose continuation coverage if group health coverage is lost for any of the following reasons:

  1. The death of the employee;
  2. Termination of employee's employment or reduction in employee’s work hours;
  3. Divorce, legal separation, or dissolution of domestic partnership from the employee; or
  4. Employee becomes entitled to Medicare.

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Dependent Child Eligibility

A dependent child of a covered employee has the right to continuation coverage if group health coverage is lost for any of the following reasons:

  1. The death of the parent (employee);
  2. The termination of the parent's employment or reduction in the parent's work hours with the CSU;
  3. The parents' divorce, legal separation, or dissolution of domestic partnership;
  4. The parent (employee) becomes entitled to Medicare; or
  5. The dependent ceases to be a "dependent child" under the CSU health plan.

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If an employee does not choose continuation coverage, the employee's coverage will end. However, the employee's spouse or domestic partner and/or eligible dependents may elect continuation coverage, independent of the employee's rejection.

Please see the COBRA Administrative Guide for further details.

 

   

Content Contact:
Benefits Insider
(562) 951-4411
Technical Contact:
webmaster@calstate.edu

Last Updated: February 15, 2012


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