COBRA
The Consolidated Omnibus Budget Reconciliation Act (COBRA)
provides you and your dependents the right to continue medical, dental and
vision coverage, and participation in the Health Care
Pre-Tax Expense Account if coverage for you or your dependents is lost as a
result of a "qualifying event". If a qualifying event occurs, you
and/or your dependents will be offered continuation of coverage for a
specified length of time. More detailed information about COBRA is available
in the online Health and Welfare Summary Plan Description
(SPD).
You or your dependents must notify the Penn
Benefits Center within 60 days of the end of coverage, or from receipt
of notification, whichever is later. Coverage will not be reinstated
until your first payment is received by the COBRA Benefits Administrator.
The University contracts with ADP COBRA Services to handle COBRA billing and
premium collection:
ADP Benefit Services
P.O. Box 27478
Salt Lake City, UT 84127-0478
The cost of coverage is 102% of the applicable premium
The first premium must be paid within 45 days of your election to continue
coverage, and must cover the premiums due from the date of termination of
coverage.
You may contact the Penn Benefits Center at 1-888-PENNBEN
(1-888-736-6236) and press Option #4 for additional information.