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Forty-one states have legislation similar to federal COBRA requiring employers to allow employees and their dependents to continue their group health insurance coverage following certain qualifying events. [27] [28] The District of Columbia also has laws covering COBRA.
COBRA continuation coverage helps employees keep health insurance when their employment ends. This coverage can work with Medicare.
Employers may require COBRA-qualified individuals to pay the full cost of coverage, and coverage cannot be extended indefinitely. COBRA only applies to firms with 20 or more employees, although some states also have "mini-COBRA" laws that apply to small employers.
The Hill-Burton Act of 1946, which provided federal assistance for the construction of community hospitals, established nondiscrimination requirements for institutions that received such federal assistance—including the requirement that a "reasonable volume" of free emergency care be provided for community members who could not pay—for a period for 20 years after the hospital's construction.
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In 2016, qualified small employer HRA [5] were created which allows small employers to pay for premiums, including on the individual market such as through a health insurance marketplace, although the employees may not be eligible for subsidies. [2] On average, employers with these plans offered an average $387 per month. [6]
The IRS allows employers to waive this requirement when an individual uses the debit card at a pharmacy or grocery store that complies with the above procedure. The IRS also allows employers to waive this requirement when the amount charged to the debit card is a multiple of a co-pay of the employee's group health insurance plan.
You manage risks by distributing employee handbooks and ensuring hiring managers follow employment laws. But, HR risk management and compliance extends to timely filings and expert understanding ...