COBRA Frequently Asked Questions
Have a question? Below are answers to the most frequently asked questions we receive from members about the COBRA.
You may notify us by mail, fax, email or electronic file.
We will immediately enter the information into our database and mail a "qualifying event notice" informing the Qualified Beneficiary of their COBRA rights. This letter will include the name, address and phone number of a specific Surency processor for them to contact with any questions they might have. A separate election form will be enclosed with instructions to mail the form to Surency.
Surency will produce and send the required HIPAA Certification Notice in the same envelope as the qualifying event notice. Once a Qualified Beneficiary’s COBRA coverage ends, we will also send an updated HIPAA Certification Notice. Surency provides this service at no extra charge to our clients.
Surency will send a separate COBRA notice each time we are notified that a dependent Qualified Beneficiary has lost coverage. This includes dependent children exceeding the maximum eligible age, divorcing spouses and spouses of deceased employees. As an extra protection, we can also send a separate notice to spouses of terminating employees.
It is our goal to be the primary contact for all COBRA related questions. Our processors work hard to solve problems so that you don’t have to get involved later.
We put our local and toll free phone number on all correspondence and each letter includes the name and direct extension of the processor actually doing the daily work. Our processors continually cultivate relationships with plan vendors throughout the country. A Qualified Beneficiary that may have gotten the “run around” from other plan vendors will discover that Surency is their advocate in solving problems that used to require your involvement.
A letter will be sent to the Qualified Beneficiary confirming that their right to elect COBRA coverage has expired. This notice will specify the date their “active” coverage terminated and will also include an additional HIPAA certification.
As per law, if an enrollment form is received without the initial premium payment, they receive an additional 45 days in which to pay all premiums (retroactive to termination date). Upon receipt of an enrollment form without payment, Surency will send out an enrollment confirmation letter notifying the Qualified Beneficiary that we received their form as well as the specific date by which all back premiums must be paid to avoid termination. We also include premium payment coupons and remittance envelopes with this notice.
Should a Qualified Beneficiary fail to make payment by the deadline, we follow the same procedure that we do for a Qualified Beneficiary who ignores the initial notice entirely.
Upon receipt of an enrollment form and initial premium payment, our system will automatically produce and mail a confirmation letter, premium payment coupons and return envelopes to the Qualified Beneficiary.
A notice to each health plan elected by the Qualified Beneficiary is also sent out at this time. The notice to the carrier will include a copy of the Qualified Beneficiary enrollment form containing any and all information the carrier might request in order to reinstate benefits.
Surency will provide reporting to you monthly (or more often if requested) showing all elections, terminations, etc. This information is also available online every day.
Depending on the size of the group and the number of Qualified Beneficiary’s enrolled, notifications can be monthly or weekly. With large groups, Surency sends weekly files in the specific file layout specifications to both health and prescription vendors. Smaller groups are normally handled via hard copy paper reporting either weekly or monthly as per your request.
If we receive a call from a Qualified Beneficiary who is unable to access benefits, Surency will contact the vendor to determine why and work to resolve the issue for them.
Surency follows the letter of the law and will terminate benefits for anyone who does not make their premium payment on time, unless it is specifically requested otherwise, in writing, from the employer not to do so.
Our system will notify any Qualified Beneficiary whose premium payment is returned by the bank or is short by a “significant amount”. The letter informs the Qualified Beneficiary they have until either the end of the grace period or ten days from the date of the letter, whichever is later, for replacement funds to be sent in order to avoid termination.
Surency will remit to you ALL premium payments received each month, early the following month, or more often if requested.
Surency's COBRA Administration system is capable of tracking an unlimited number of plans and rates for each employer.
Surency’s system is capable of handling all types of subsidies, severance and retirement programs. Additionally, there are several mechanisms for dealing with individual state laws and requirements.