| II. ONGOING ADMINISTRATION
CHARGES |
$1.50
per covered employee |
New Employee HIPAA Rights
Notification
(includes HIPAA rights notification mailed to new employees)
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|
New Health Plan Participant Employee Enrollment
(includes Initial COBRA Notice mailed to new
Health Plan Participants and Qualified Beneficiaries with
Separate Letters Mailed to Qualified Beneficiaries Residing
at Address Other than Employee’s. Letter’s Also Include
HIPAA Certificate of Creditable Coverage)
|
|
Qualifying Event Notice
(includes COBRA Election Form mailed to
Employee and Qualified Beneficiaries with Separate Letters
Mailed to Qualified Beneficiaries Residing at Address Other
Than Employee’s) |
|
Notice of Failure to Elect COBRA
(includes notices mailed to each individual who was sent a
COBRA Election Form that does not elect COBRA within the 60
day limit) |
|
Notice of Early Termination of COBRA Coverage
(includes notices of loss of coverage mailed each individual
who elects COBRA and then looses coverage earlier than the
end of the statutory period.
|
|
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*These notices are sent via U.S. Postal
Service First Class Mail with a Proof of Mailing Form
retained on file by Admin America to document actual
mailing. |
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|
SERVICES PROVIDED FOR 2% ADMINISTRATIVE
FEES PAID BY COBRA PARTICIPANTS
|
- Coupon Books for COBRA Payments
(sent to each Employee or Qualified Beneficiary who
elects COBRA)
- Notice to Employer of COBRA
Election (sent to Employer along with sufficient
copies for Employer to attach to each affected insurance
carriers invoice to alert carriers that an election has
been made and premium payments are pending)
- Disability Extension Notice
(sent to COBRA participants for whom Admin America is
notified that there has been a certification of
disability by the Social Security Administration to
inform them of their right to an extension of COBRA
coverage and the new rates)
- Collection of COBRA Payments from
COBRA Participants
- Payment of Premiums to Employer or
Directly to Insurance Company (at the Employer’s
option)
- Short Payment Notice (sent to
each COBRA participant who makes an incomplete premium
payment)
- NSF Payment Notice (sent to
each COBRA participant who makes a premium payment
returned by Admin America’s as NSF)
- Termination of COBRA Participation
Report to Employer (sent to employer whenever a
covered Employee, Qualified Beneficiary or COBRA
Participant loses eligibility for further COBRA
participation)
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Please contact Trey
Tompkins at 770-992-5959 (toll free 800-366-2961) with
any questions.
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