Why was a waiver not given when we checked waiver reason #9 – “My health insurance carrier terminated my individual health insurance coverage”?
A. Waivers are only granted in situations where the health insurance carrier terminates an individual’s coverage. Example: A dependent lost coverage due to reaching the dependent maximum or limiting age or a temporary individual plan (i.e. Insta-Care plan) has been terminated at the end of the policy coverage timeframe, or the insurance carrier ceased doing business in the state. Q. Why is the COC form not sufficient to provide documentation stating COBRA is too expensive for waiver reason #3 “I was unable to afford or continue to afford my premiums for COBRA or other continuation coverage under a similar state law?” A. The COC form, which provides coverage begin/end dates, does not provide information on the COBRA premium charged. At the same time the Certificate of Prior Creditable Coverage form is requested, please request a letter/invoice stating the COBRA premium amount (or send in a copy of the COBRA offer letter stating the COBRA premium rate). MCHA requires documentation from t
Related Questions
- I am married to another Nassau County employee and we do not have any children. Can we get two individual health insurance policies instead of one family policy?
- Can health insurance companies deny my application for individual insurance due to a health conditions?
- Are audits being planned, given serious consideration to planning of individual audits?
