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:

·        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.