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How Does a Qualified Beneficiary Waive COBRA Coverage?

October 10, 2002
Santa Rosa, CA
How does a qualified beneficiary waive COBRA coverage?
Qualified beneficiaries can waive their rights to continuation coverage under COBRA in two ways. The simplest, and perhaps most common method, is a waiver by default; the qualified beneficiary takes no affirmative action, neither waiving nor electing coverage during the 60-day election period. The waiver of COBRA rights due to the failure to elect coverage in a timely manner is irrevocable.

The second method of waiver is for the qualified beneficiary to explicitly waive COBRA rights during the election period. Such a waiver is typically made in writing, although at least one court has upheld the validity of an oral waiver made during an exit interview. (Note that COBRA law is silent on the issue of what constitutes a valid waiver.)

After explicitly waiving COBRA coverage during the election period, can a qualified beneficiary change his mind?
Yes. A qualified beneficiary who waives COBRA continuation coverage may revoke the waiver at any time during the 60-day election period. A revocation of a waiver is effective on the date it is sent (postmarked or hand delivered) to the employer or plan administrator.

Are there drawbacks to waiving COBRA coverage?
Yes. The decision to waive COBRA coverage may have serious consequences for the person who later changes his mind. According to COBRA regulations, if a person who waives COBRA subsequently revokes the waiver and elects coverage before the end of the election period, the employer may restore coverage retroactively to the date of the revocation, rather than to the date on which coverage was lost. In such a case, the qualified beneficiary would experience a lapse in coverage.

Must a COBRA waiver form be provided?
No. COBRA law and regulations are silent on this issue. But if your policy is to restore coverage retroactively to the waiver revocation date, rather than to the loss of coverage date, it is prudent to provide a standard waiver form to qualified beneficiaries. This form, which should be developed with the assistance of legal counsel, should include specific language that explains the qualified beneficiary's rights, the consequences of revoking a waiver, the circumstances under which a waiver may be nullified, and other critical issues.

On the other hand, if your standard practice is to restore coverage retroactively to the loss of coverage date, the qualified beneficiary who revokes his waiver would not experience a lapse in coverage. In such a case, it may not be necessary to provide a waiver form because the only substantive waiver of COBRA rights occurs when the qualified beneficiary fails to elect coverage during the 60-day election period.
This information is provided by OnQue Technologies, Inc. for educational purposes only and does not constitute legal advice. If legal advice or other professional assistance is required, the services of a competent professional should be sought.
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