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COBRA after a layoff: how long, how much and the deadlines

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I was laid off last week and my employer's health plan ends at the end of the month. HR said I'll get a COBRA notice in the mail. I've heard COBRA is expensive. How long can I keep COBRA, how much will it cost, and what deadlines do I need to watch so I don't lose coverage?

Diagram: COBRA after a layoff — Watch for the notice; Compare costs; Elect in writing; Pay on time

Concerns & risks

You were laid off, coverage ends at month's end, and a COBRA notice is on its way.

At a glance: COBRA vs Marketplace questions
QuestionWhy
Monthly COBRA premium?Often the full cost
Marketplace savings?Based on income
Same doctors?Network differences
Deductible met this year?COBRA keeps progress
Family members covered?Each can elect
Deadlines?60 days to elect; 45 to pay
Windows 11 laptop (Microsoft official image), annotated: Comparing coverage options
Comparing coverage options. Image: Microsoft (official source, cropped and annotated by ReportSpeed)
Overview diagram: COBRA after a layoff — Watch for the notice; Compare costs; Elect in writing; Pay on time
The whole fix at a glance: watch for the notice, compare costs, elect in writing, pay on time. Original diagram by ReportSpeed

Causes & evidence

The Department of Labor explains that COBRA generally applies to group health plans of private-sector employers with 20 or more employees, as well as state and local governments. After a job loss or reduction in hours, you and covered family members can generally continue coverage for up to 18 months; other events, like divorce or a dependent aging out, can allow up to 36 months for family members. You have at least 60 days to elect COBRA, counted from the later of the date coverage would end or the date the election notice is provided. Once you elect, you have 45 days to make the first premium payment. The plan can charge up to 102% of the cost of coverage, meaning the full premium including the part your employer used to pay plus a 2% administrative fee. Losing job-based coverage also opens a special enrollment period for Marketplace coverage, usually 60 days, where you may qualify for savings based on income.

Edge cases: small employers under 20 employees may be covered by state 'mini-COBRA' laws. A disability determination can extend coverage to 29 months. If the employer goes out of business and ends the plan, COBRA may not be available.

Troubleshooting flowchart: try each step in order and stop when it is fixed — COBRA after a layoff
Work through it in order and stop when the problem is gone. Original diagram by ReportSpeed

Missing the first payment deadline, even after electing COBRA, can end your coverage, so the 45-day date matters as much as the 60-day one.

What to do

Step illustration: numbered steps for COBRA after a layoff
The steps from this answer as numbered cards. Original diagram by ReportSpeed
Comparison chart: COBRA basics (DOL)
COBRA basics (DOL). Original diagram by ReportSpeed
COBRA basics (DOL)
ItemRule
Employers coveredPrivate sector with 20+ employees; state and local government
Coverage after job lossUp to 18 months
Some family eventsUp to 36 months
Election windowAt least 60 days
First paymentWithin 45 days of electing
Maximum cost102% of plan cost
  1. Watch for the COBRA election notice and note the 60-day election deadline.
  2. Get the monthly premium amount from the notice.
  3. Compare it with Marketplace plans at HealthCare.gov during your 60-day special enrollment window.
  4. Check whether a spouse's employer plan is an option.
  5. If choosing COBRA, elect in writing and pay within 45 days.
  6. Set reminders for each monthly payment and its grace period.
Callout graphic of common mistakes to avoid and what to do instead for COBRA after a layoff
Mistakes I see most often, plus the better move. Original diagram by ReportSpeed

Common mistakes:

  • Missing the first payment
  • Not comparing Marketplace savings
  • Dropping a family member who could stay on
  • Waiting past the special enrollment window

ReportSpeedMan tip: Write the election and first-payment dates on your calendar the day the notice arrives. Most COBRA problems are missed dates, not missing coverage.

What I would actually do

I'd compare the COBRA premium with Marketplace plans during the special enrollment window, considering deductibles already met.

The trade-off people miss: COBRA keeps your doctors and deductible progress, but a Marketplace plan with income-based savings can cost much less.

Checking that it worked

You've chosen coverage before the 60-day deadline.

Quick FAQ

How long does COBRA last?
Usually 18 months after job loss.

What does it cost?
Up to 102% of the plan cost.

Can I choose Marketplace instead?
Yes, within the special enrollment window.

Wrap-up: COBRA usually lasts 18 months, costs up to 102% of the premium, and gives you 60 days to elect and 45 days to pay. Compare Marketplace plans before choosing.

Wiki: Emergency Fund and Wage and Hour Basics (FLSA).

COBRA after a layoff: official sources I checked

Step-by-step photos

  1. Before: You were laid off, coverage ends at month's end, and a COBRA notice is on its way
    1. Before The problem
  2. Cause: The Department of Labor explains that COBRA generally applies to group health plans of…
    2. Why it happens The cause
  3. Fix steps: Watch for the COBRA election notice and note the 60-day…; Get the monthly premium amount from the notice; Compare it with Marketplace plans at HealthCare.gov during…
    3. The fix The fix
  4. After: COBRA usually lasts 18 months, costs up to 102% of the premium, and gives you 60 days to elect and 45 days to pay
    4. After The result

⚡ Speed Summary

  1. COBRA usually lasts 18 months, costs up to 102% of the premium, and gives you 60 days to elect and 45 days to pay.
  2. Write the election and first-payment dates on your calendar the day the notice arrives. Most COBRA problems are missed dates, not missing coverage.
  3. Missing the first payment deadline, even after electing COBRA, can end your coverage, so the 45-day date matters as much as the 60-day one.

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