COSTS OF COBRA COVERAGE
The 1996 National Agreement established a requirement that an employee
must perform seven (7) days compensated service in any month in order to
have coverage the following month. The collective bargaining agreement further
provides an additional three (3) month’s coverage following the last month of
earned coverage. Understanding those two requirements is essential in order to
determine how many months COBRA payments will have to be paid to continue
coverage in the event you are fired for a period beyond the date to
which your coverage extends. Article V of the 1996 National
Agreement states as follows:
The Railroad Employees National Health and Welfare Plan ("the
Plan") is amended, effective June 1, 1996, as provided in this Section. In order for an Eligible Employee (as defined
by the Plan) to continue to be covered by the Plan during any calendar month by
virtue of rendering compensated service or receiving vacation pay in the
immediately preceding calendar month (the "qualifying month"), such
employee must have rendered compensated service on, or received vacation pay
for, an aggregate of at least seven (7) calendar days during the applicable
qualifying month. Any calendar day on
which an employee assigned to an extra list is available for service but does
not perform service shall be deemed a day of compensated service solely for
purposes of this Section. Existing
Plan provisions pertaining to eligibility for and termination of coverage not
specifically amended by this Section shall continue in effect.
Your
insurance will continue for three (3) months following the month in which you
last performed seven days service as above for a total of four (4) months. After that you can continue your
insurance by paying a COBRA payment (amounts shown on the last page) each month
until you can return to fulfill the seven (7) day requirement above.
Please
note the following scenarios pertaining to continuing insurance via COBRA
payments:
- If you are fired in a month before
you have accumulated at least seven (7) total days of any of the following: (1) rendered compensated service,
(2) paid vacation or PL days, (3) marked up on an extra board but not
used, then you must begin counting the four months of remaining
health insurance coverage beginning the first of THIS month! Example: You are working a
non-guaranteed assignment and were fired on November 10th but were
only paid for six (6) days during that month. You did not earn
insurance for December so you will have four months of insurance as follows:
November (earned in October) then three (3) months additional coverage
beginning on December 1st. Your insurance will end on the
last day February of the following year which is a total of four months
beginning November 1,
2006. You will have to begin making COBRA payments on March 1, 2007
and until you return and fulfill the seven (7) day requirement shown above.
At a minimum you will have to pay COBRA payments for three (3) months:
March, April and May. That is assuming that you work seven (7) days in May
after returning on May 9th to earn insurance for the month of
June.
- Second example: if you are fired on November 28, 2007
and worked at least seven (7) during November then you are assured
coverage in December. You will therefore begin counting your four
months of continued health insurance coverage on December 1, 2007, and will lose
your insurance on March
31, 2007. You will have to begin COBRA payments on April 1, 2007 and until you return
and fulfill the seven (7) day requirement above. Since you earned
insurance for the month of December by working seven (7) days in November
before getting fired, your three (3) additional months will be January,
February and March. At the minimum you will have to pay COBRA payments for
three (3) months: April, May and June. You pay for June because you would
return no earlier that May 26th, which is too late in the month
to earn seven (7) days compensation to be insured in the following month,
and will require paying another COBRA payment for the month of June.
- There are other possible scenarios that
might require paying COBRA payments for four (4) months or more depending
on one’s work performance. In addition, there is the possibility that
arbitration (if that is required to get a return to work) might be postponed
beyond 180 days. In the last year our general committee has had to
postpone scheduled arbitration hearings more than once because the Federal
government had not funded the National Mediation Board (NMB). The
arbitration neutrals could neither hear cases nor issues decisions. In
those events the COBRA payments could be required for a longer period of
time.
·
As GC Gore explained in his email to you, cases that are “sustained in
full” (usually involving payment of lost time) would also reimburse an employee
for their COBRA payments. If the member is returned to work under a “leniency
reinstatement” (where they waive their rights to appeal) or their case was
“sustained in part” (meaning they are returned to work but without payment for
lost time) the COBRA payments would not be repaid.
Following are COBRA Costs
(eff. 11/01/06):
[NOTE: All payments are voluntary. One could
omit any one of the additional coverages, such as dental, if they wished. All
totals in red assume they will accept ALL coverages listed.]
Employee:
$523.60/mo. -
United Health Major Medical/Drug Coverage
$24.80/mo.
- Dental Coverage
$5.31/mo.
- Vision Coverage
$553.71 per month TOTAL
Spouse:
Same as above.
$553.71 per month TOTAL
Child NOT previously covered
(one that you add under COBRA):
Same as above.
$553.71 per month TOTAL
Children (the ones you had
covered before) no matter how many:
$281.06/mo. -
United Health Major Medical/Drug Coverage
$41.96/mo.
- Dental Coverage
$1.17/mo.
- Vision Coverage
$324.19 per month TOTAL
In other words:
Single Employee pays - $553.71 per month
TOTAL
Married Employee w/o
children pays - $1,107.42 per month TOTAL
Married Employee with
children pays - $1,431.61 per month TOTAL
Singled Parent pays - $877.90 per month
TOTAL
YOU
WILL NEED TO CONSIDER THESE COSTS WHEN YOU LOOK AT HOW MUCH JOB INSURANCE YOU
HAVE!
THESE
EXAMPLES ARE IF YOU RETURN IN 180 DAYS. IF YOUR CASE MUST GO TO ARBITRATION IT
COULD TAKE LONGER THAN SIX (6) MONTHS TO GET YOU BACK AND YOUR COSTS
COULD BE FOR A LONGER PERIOD. Even if your arbitration case resulted in your being
paid back for some of those extra months you would have to continue to pay them
until that decision was submitted by the neutral.