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Health Benefits Advisor

Not Covered Under Deceased Employee's Group Health Plan on Last Day

If you or your dependent children were not covered under the group health plan sponsored by the covered employee's employer, employee organization (such as a union), or both on the day before the death of the covered employee, the individual who was not covered does not have the right to COBRA continuation coverage.

However, there may be other options available that may assist you and your family in obtaining health coverage. You may also be eligible for Medicaid, Medicare, CHIP (Children's Health Insurance Program) or other health coverage.

In choosing among the options available to you, you should review the SPD (summary plan description) for each available group health plan to determine which plan best meets your needs. You should also review and compare the information on the other coverages for which you are eligible. In making your decision, you may want to consider such things as:

  1. Any waiting period (or affiliation period) imposed under the plans;
  2. Types of benefits offered (Is dependent coverage available? Do the benefits cover your family's medical needs?);
  3. Cost of coverage (premiums, co-payments and deductibles for prescription drugs and doctor visits);
  4. Limitations on coverage; and
  5. Any exclusions from coverage (treatments, procedures, conditions or prescription drugs).