Consolidated Omnibus Budget Reconciliation Act (COBRA)

This notice is intended to give you a summary of your rights and obligations with respect to COBRA continuation coverage under Seminole State College's health plan. You (and your spouse, if you have family coverage) should take the time to read this notice carefully.

The Right to Elect COBRA Continuation Coverage

The occurrence of certain qualifying events make you (and your covered dependents, if you have family coverage) qualified beneficiaries who have the right to elect COBRA continuation coverage. Qualifying events are described below.

EmployeeYou have the right to elect COBRA continuation coverage if you lose your group health coverage under the plan due to:
  • Reduction of hours of employment; or
  • The termination of your employment for reasons other than gross misconduct.
SpouseYou have the right to elect COBRA continuation coverage if you lose group health coverage under the plan due to:
  • Your spouse's death; or
  • The termination of your spouse's employment for reasons other than gross misconduct; or
  • A reduction in your spouse's hours of employment; or
  • Becoming divorced or legally separated from your spouse; or
  • Your spouse becoming entitled to Medicare benefits.
ChildIf you have a dependent covered under the plan, the child has the right to elect COBRA continuation coverage if he or she loses group health coverage under the plan due to:
  • The death of the employee; or
  • The termination of the employee's employment for reasons other than gross misconduct; or
  • A reduction of the employee's hours of employment; or
  • The employee's divorce or legal separation; or
  • The employee becoming entitled to Medicare benefits; or
  • The dependent child ceasing to be a "dependent child" for purposes of eligibility for group health coverage under the plan.

Important Reminder

You or a family member are responsible for informing the plan administrator of a divorce, legal separation or child's loss of dependent status under the plan within 30 days of the qualifying event. Once notification of a qualifying event is received, the plan administrator will notify the qualified beneficiaries of their right to elect COBRA continuation coverage.

Contact

Human Resources
Seminole State College
100 Weldon Boulevard
Sanford, FL 32773-6199
Phone: 407.708.2195
Fax: 407.708.2425