COBRA prerequisites
A qualifying event alone is not enough. The plan must be subject to COBRA, the person must generally have been covered the day before the event, the event must cause a loss of coverage, and the employer must continue a group health plan. The person must also be a qualified beneficiary. Plan terms and facts control.
Common qualifying events
| Event | Potential qualified beneficiaries | Common maximum period |
|---|---|---|
| Termination of employment, except gross misconduct, or reduction in hours | Employee, spouse, dependent children who lose coverage | Generally 18 months, subject to extensions and early termination |
| Death of covered employee | Spouse and dependent children who lose coverage | Generally up to 36 months |
| Divorce or legal separation | Spouse and dependent children who lose coverage | Generally up to 36 months |
| Loss of dependent status under plan terms | The dependent who loses coverage; turning 26 is a common example | Generally up to 36 months |
| Covered employee's Medicare entitlement | Spouse and dependents, only when the entitlement causes their loss of coverage | Timing and duration are fact-specific |
Who gives notice?
| Event | Who generally notifies whom | General federal timing |
|---|---|---|
| Termination, reduction in hours, death, or covered employee's Medicare entitlement | Employer notifies plan administrator | Generally within 30 days of the event |
| Divorce, legal separation, or loss of dependent status | Employee or qualified beneficiary notifies plan using its required procedure | The plan may set a reasonable deadline, but it generally cannot be earlier than 60 days from the later of the event or loss of coverage |
| Election notice after administrator receives proper notice | Plan administrator sends notice to qualified beneficiaries | Generally 14 days; a 44-day combined period can apply when the employer is also the administrator. Multiemployer plans can follow plan-specific rules. |
Follow the plan's written notice procedure, address, and proof requirements. Keep copies and delivery confirmation. Do not assume HR will handle a divorce or loss of dependent status.
The election period
Each qualified beneficiary generally gets at least 60 days to elect, measured from the later of the date coverage would be lost or the date the election notice is provided. A spouse or dependent can make a different election from the employee.
Marketplace enrollment may be separate
A loss of qualifying health coverage may trigger a Marketplace SEP; an event such as divorce without a resulting loss of coverage does not by itself create that loss-of-coverage SEP. Check HealthCare.gov promptly and verify documentation, effective date, and first-premium timing.
Need help organizing the notices and options?
A 15-minute call can help list questions and review available coverage paths. For disputed federal COBRA rights, contact EBSA or legal counsel.
Book a 15-minute callPrimary sources
- U.S. Department of Labor: COBRA FAQs
- U.S. Department of Labor: Employee's Guide to Health Benefits Under COBRA
- Ask EBSA or call 1-866-444-3272
- HealthCare.gov: Special Enrollment Periods
Sources accessed and content reviewed August 18, 2026.
Disclosure: General insurance education only; not legal, tax, or medical advice, an eligibility decision, or a binding quote. Follow the plan's notice procedure; official notices and plan documents control. Caden Douglas is not affiliated with or endorsed by a government agency. No separate consumer fee is charged for the 15-minute consultation described here. Caden Douglas may receive insurer compensation if enrollment occurs through him; appointments and products vary, and he does not represent every plan. Report a correction through douglasinsurancegrp.com. Privacy · Terms.