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Federal COBRA Premium Subsidy Program

Under the recently enacted federal stimulus package, known as the American Recovery and Reinvestment Act of 2009 (ARRA), certain eligible individuals may be entitled to a 65% reduction in their premium payment.

The qualified person pays 35% of the premium and the insurance carrier receives a tax credit reimbursement for the balance. This reduction only applies to premium payments made after February 16th, 2009 and lasts for a maximum of 9 months. To be eligible for this reduction you must have first been eligible for COBRA between September 1, 2008 and December 31st, 2009 due to involuntary loss of employment during this time period.
Any person that is eligible to be covered under another group health insurance plan, such as that available through a spouse’s employer, are not eligible for this reduction of premium.
Health plan administrators are required by law to provide notice of the premium reduction program to all people that become eligible for COBRA during this limited time period. Eligibility for premium reduction assistance is based on income limits. If, during the year in which premium assistance is requested, an individual’s adjusted gross income exceeds $145,000, the amount of premium reduction must be repaid in full. For joint filers, the adjusted gross income doubles to $290,000. If the individual’s adjusted gross income is between $125,000 and $145,000, the repayment amount of the premium reduction will be adjusted proportionately.

The premium reduction applies to all group health insurance plans through private sector employers or organizations that are subject to COBRA laws under ERISA, state or local government sponsored health plans under the PHSA and FEHBP. It also applies to group health insurance plans of less than 20 employees in a state that has continuation of coverage laws State Variations of COBRA Laws, commonly referred to as “mini-Cobra.”
Before electing the premium reduction benefits under ARRA, you should consult with a tax accountant. Receiving a reduction of your COBRA premium under this act will disqualify you for the Health Coverage Tax Credit, which could provide you a higher benefit at year’s end.