Okla. Admin. Code § 260:50-3-28

Current through Vol. 42, No. 8, January 2, 2025

Section 260:50-3-28 - COBRA administration

(a)COBRA coverage is identical to coverage provided at date of the qualifying event. The coverage elected shall be identical to the coverage provided at the date of the qualifying event. Should a beneficiary move out of the service area of their current plan, the beneficiary will be allowed to change to a plan whose service area covers the beneficiary's new location.

(b)Payment of back premiums. All back premiums from the termination of coverage to the election and approval of continuation must be paid before coverage is effective. Coverage will then be retroactive to provide continuous coverage. All time limits are mandatory and cannot be waived under any circumstances.

(c)Responsibility of qualified beneficiary to inform EGID of ineligibility. It is the responsibility of the qualified beneficiary to provide timely notice if he is not eligible for any reason. Failure to do so will result in cancellation of COBRA insurance coverage, retroactive to the time of ineligibility.

(d)Primary member premium. For any benefit continued under COBRA, one person must pay the primary member premium. In cases where a spouse, child, or children are insured for a particular benefit where the primary member did not retain coverage, one person will be billed at the primary member rate.

(e)Federal regulations. Federal regulations regarding COBRA extension of coverage shall be controlling in all situations where applicable.

Okla. Admin. Code § 260:50-3-28

Renumbered from 260:50-9-2 Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/11/2020