What is Surency COBRA?

The Consolidated Omnibus Budget Reconciliation Act (COBRA) provides certain former employees, retirees, spouses, former spouses, and dependent children the right to temporary continuation of health coverage at group rates.
 

To be eligible for COBRA coverage, you must have been enrolled in your employer’s health plan when you worked, and the health plan must continue to be in effect for active employees. COBRA continuation coverage is available upon the occurrence of a qualifying event that would, except for the COBRA continuation coverage, cause an individual to lose his or her health care coverage.

MEMBER ACCOUNT

What is Surency COBRA?

The Consolidated Omnibus Budget Reconciliation Act (COBRA) provides certain former employees, retirees, spouses, former spouses, and dependent children the right to temporary continuation of health coverage at group rates.

COBRA administration can be a thankless, “necessary evil” that takes focus away from active employees. It is complicated, time consuming, and filled with legal and financial risks. It is a wise choice to outsource these tasks.

Surency COBRA is a boutique administrator providing specialized, “high touch” service to our clients. We welcome complex plans that require client-specific solutions.

EMPLOYER LOGIN

What is Surency COBRA?

The Consolidated Omnibus Budget Reconciliation Act (COBRA) provides certain former employees, retirees, spouses, former spouses, and dependent children the right to temporary continuation of health coverage at group rates.

COBRA administration can be a thankless, “necessary evil” that takes focus away from active employees. It is complicated, time consuming, and filled with legal and financial risks. It is a wise choice to outsource these tasks.

Surency COBRA is a boutique administrator providing specialized, “high touch” service to our clients. We welcome complex plans that require client-specific solutions.

BROKER LOGIN

Member Benefits

Letter<small>With login and password information</small> LetterWith login and password information
Member Login<small>With access to view notices, invoices and payment history</small> Member LoginWith access to view notices, invoices and payment history
No pre‑existing<small>No pre-existing condition exclusion periods</small> No pre‑existingNo pre-existing condition exclusion periods
Coupon book<small> to help you track and pay monthly premiums</small> Coupon book to help you track and pay monthly premiums

Services Offered

Surency COBRA will provide “turnkey” COBRA administration. This includes the following services:

  • Dedicated account executive for all client service needs
  • Image and make available all inbound and outbound documents, payments, notes and emails
  • Provide and maintain toll-free customer service support
    • Record all plan participant’s phone calls
    • Field daily phone calls from Primary Qualified Beneficiaries (PQBs), health plans, etc.
    • Resolve PQB problems and answer questions in a timely manner, minimizing your involvement
  • Maintain strict HIPAA compliance in every process
  • Handle processing and mailing of the following types of notices directly from you (or any other designated source):
    • to terminated PQBs
    • new-hire notices (upon request)
    • to eligible dependents as required or appropriate
    • “Failure to Enroll” notices
    • enrollment confirmation, payment coupons, and remittance envelopes
    • late notices halfway through the grace period
    • termination notices when COBRA coverage ends
    • HIPAA coverage certificates when COBRA coverage ends
  • Monitor and track time limit for elections and initial payments 
  • Post and deposit all premium payments
  • Manage insufficient funds collection process
  • Provide eligibility reporting to health plan claim payers. Reporting may be electronic or hard copy on a weekly or monthly basis.
  • “Instant Updates” to claim payer eligibility system when requested by COBRA participant who has paid in a timely manner. Updates will be input via direct internet connection or requested by phone, fax or email.
  • Open Enrollment rate reset, processing and mailing as requested
  • Client web access to all activity and reports
  • Participant web access to payment history with online payment capability (convenience fee applied to online payments)
  • After month’s end, all premiums collected will be remitted to you along with reports showing exactly who paid and how much. 

What is considered a qualifying event?

The following examples are considered qualifying events for obtaining COBRA:

  • Voluntary or involuntary termination of employment
  • Reduction in numbers of hours worked

FOR SPOUSES

  • Loss of coverage by the employee because of one of the qualifying events listed above
  • Covered employee becomes eligible for Medicare
  • Divorce or legal separation of covered employee
  • Death of the covered employee

FOR DEPENDENTS

  • Loss of coverage by the employee because of one of the qualifying events listed for spouses
  • Loss of status as a dependent child under the plan rules

Interested in having Surency administer COBRA for your clients?

Fill out the form below to get started. A Surency team member will reach out to help you with your custom Surency COBRA solution.   

Sales Contact Form

Interested in having Surency administer COBRA for your employees?

Fill out the form below to get started. A Surency team member will reach out to help you with your custom Surency COBRA solution. 

Sales Contact Form

MORE QUESTIONS?

Visit our Frequently Asked Questions for answers.

Frequently Asked Questions