COBRA - New Laws - Frequently Asked Questions
Involuntary Termination
- What circumstances constitute an involuntary termination for purposes of the definition of an assistance eligible individual?
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An involuntary termination means a severance from employment due to the independent exercise of the unilateral authority of the employer to terminate the employment, other than due to the employee’s implicit or explicit request, where the employee was willing and able to continue performing services.
Involuntary termination is the involuntary termination of employment, not the involuntary termination of health coverage. Thus, qualifying events other than an involuntary termination, such as divorce or a dependent child ceasing to be a dependent child under the generally applicable requirements of the plan (such as loss of dependent status due to aging out of eligibility), are not involuntary terminations qualifying an individual for the premium reduction.
- Does an involuntary termination include a lay-off period with a right of recall or a temporary furlough period?
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Yes. An involuntary reduction to zero hours, such as a lay-off, furlough, or other suspension of employment, resulting in a loss of health coverage is an involuntary termination for purposes of the premium reduction.
- Does an involuntary termination include a reduction in hours?
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Generally no. If the reduction in hours is not a reduction to zero, the mere reduction in hours is not an involuntary termination. However, an employee’s voluntary termination in response to an employer imposed reduction in hours may be an involuntary termination if the reduction in hours is a material negative change in the employment relationship for the employee.
- Does involuntary termination include an employer’s action to end an individual’s employment while the individual is absent from work due to illness or disability?
- Yes. Involuntary termination occurs when the employer takes action to end the individual’s employment status (but mere absence from work due to illness or disability before the employer has taken action to end the individual’s employment status is not an involuntary termination).
- Does an involuntary termination include retirement?
- If the facts and circumstances indicate that, absent retirement, the employer would have terminated the employee’s services, and the employee had knowledge that the employee would be terminated, the retirement is an involuntary termination.
- Does involuntary termination include involuntary termination for cause?
- Yes. However, for purposes of Federal COBRA, if the termination of employment is due to gross misconduct of the employee, the termination is not a qualifying event and the employee and other family members losing health coverage by reason of the employee’s termination of employment are not eligible for COBRA continuation coverage.
- Does an involuntary termination include a work stoppage as the result of a strike initiated by employees or their representatives?
- No. However, a lockout initiated by the employer is an involuntary termination.