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Benefits and leave

What is COBRA insurance?

A plain-English definition of COBRA, how it works, a worked example, and the mistakes US employers make, checked against primary sources.

HRTally Research Team
Updated October 25, 2026 · 8 min read · Editorial standards
Definition

COBRA, the Consolidated Omnibus Budget Reconciliation Act, lets employees and their families keep their employer's group health coverage for a limited time after losing it because of job loss, reduced hours, or certain life events. The person usually pays the full premium plus up to a 2% administrative fee.

Key takeaways

  • Federal COBRA applies to private employers with 20 or more employees; many states extend similar rules to smaller employers.
  • Coverage lasts 18 months after termination or reduced hours, and up to 36 months for other events such as divorce.
  • People have 60 days to elect COBRA and 45 days after electing to make the first payment.
  • The cost can reach 102% of the full premium, which is why many people compare marketplace plans first.

How COBRA works

COBRA starts with a qualifying event: termination for any reason other than gross misconduct, a cut in hours, divorce or legal separation, the employee's death or Medicare entitlement, or a dependent child aging out of coverage. The employer has 30 days to notify the plan administrator, and the administrator has 14 days to send an election notice. When the employer is also the administrator, it has 44 days in total (US Department of Labor, COBRA continuation coverage).

Qualified beneficiaries then have 60 days to elect coverage. Coverage is retroactive to the date it would have ended, so someone who elects on day 59 is covered for any claims during the gap, provided they pay. The first premium is due within 45 days of the election, and later premiums have a 30-day grace period.

Coverage runs 18 months for termination and reduced hours, extendable to 29 months for disability, and 36 months for the other events. Employers with fewer than 20 employees fall under state continuation laws, which vary widely.

COBRA example

A project manager on family coverage is laid off. The plan's total annual cost for family coverage is $27,000, of which the employer paid $20,000 and she paid $7,000. Under COBRA she can be charged up to 102% of the full cost:

Annual cost at 102%$27,540
Monthly COBRA premium$2,295
What she paid monthly while employed$583

The jump from $583 to $2,295 is why COBRA feels expensive. Those figures track national averages: KFF reported the average family premium at $26,993 in 2025, with workers contributing $6,850 (KFF 2025 Employer Health Benefits Survey). Some employers subsidize COBRA for a few months as part of a severance package.

Why COBRA matters for employers

COBRA notice failures are a common source of benefits lawsuits. Plans can face statutory penalties of up to $110 a day for failing to send an election notice, plus the cost of claims that would have been covered. Most of these cases come down to a missed handoff between HR, payroll, and the administrator.

The fix is process. Trigger the COBRA notice from the same termination workflow that sets the final paycheck, track the dates, and keep proof of mailing. Many employers hand COBRA to a third-party administrator or use benefits software that sends notices automatically. Our offboarding guide includes COBRA in its checklist.

Common COBRA mistakes to avoid

Missing the 30-day employer notice

The clock starts on the qualifying event. Build the notice into your termination process.

Offering COBRA only to the employee

Spouses and dependent children on the plan are qualified beneficiaries with their own election rights.

Cancelling coverage during the election period

Coverage can be retroactively reinstated if the person elects and pays within the deadlines.

Assuming small employers are exempt

State mini-COBRA laws often apply to employers with fewer than 20 employees.

COBRA: questions people also ask

How long does COBRA last?
18 months after termination or a reduction in hours, up to 29 months with a disability extension, and up to 36 months for divorce, death, Medicare entitlement, or a dependent losing eligibility.
How much does COBRA cost?
Up to 102% of the full premium, meaning both the employee's and employer's share plus a 2% fee. During a disability extension it can reach 150%.
Who is eligible for COBRA?
Employees, spouses, and dependent children who were covered by the group health plan the day before a qualifying event, at employers with 20 or more employees.
Can an employer pay for COBRA?
Yes. Employers can subsidize some or all of the premium, often as part of a severance agreement.
Is COBRA better than a marketplace plan?
It depends. COBRA keeps the same doctors and deductibles, but marketplace plans may cost less, especially if the person qualifies for premium tax credits.

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How we wrote this definition

HRTally glossary entries are written by people who have run US payroll, benefits, and HR operations, then checked line by line against primary sources such as the IRS, Department of Labor, EEOC, and Bureau of Labor Statistics. Dollar limits and rates are for 2026 unless stated. We review every entry at least twice a year and whenever a rule changes. This page explains general rules and isn't legal or tax advice; state law can differ. Read our editorial standards.

Sources

Cite this definition

Teachers, consultants, and HR communities are welcome to quote this definition with a link back to HRTally.

<blockquote>COBRA, the Consolidated Omnibus Budget Reconciliation Act, lets employees and their families keep their employer's group health coverage for a limited time after losing it because of job loss, reduced hours, or certain life events. The person usually pays the full premium plus up to a 2% administrative fee.</blockquote><p>Source: <a href="https://www.hrtally.com/hr-glossary/cobra/">HRTally HR Glossary, COBRA</a></p>

Written by the HRTally Research Team

Our guides are written and reviewed by people with hands-on US HR, payroll, and HR technology experience. Legal and tax facts are checked against primary sources, such as the Department of Labor, IRS, EEOC, and USCIS, and linked at the end of each guide. Vendors never review or pay for our editorial content.

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