COBRA Administration Court Ruling

-When COBRA election is clearly late, ´incorrect´ date on election notice does not matter, 8th Circuit rules.
When COBRA Election Is Clearly Late, ´Incorrect´ Date

Although an employer/plan administrator put an "incorrect" return date on a COBRA election form, it was not obligated to provide COBRA coverage because even based on the correct date, the qualified beneficiary´s election was untimely, the 8th U.S. Circuit Court of Appeals ruled in an unpublished opinion. The case is Deering v. O.K. Industries, Inc., 2001 WL 498221 (8th Cir., May 11, 2001).

Facts of the Case

Tracy Deering terminated employment at O.K. Industries on July 17, 1998. On July 24, 1998, Deering received by certified mail a COBRA election notice and form. The notice stated that she had to submit the election form to the plan administrator by Sept. 17, 1998.

COBRA provides that generally, qualified beneficiaries have at least 60 days from the date they are sent an election notice to elect COBRA coverage. The court opinion indicated that the date in Deering´s notice was "incorrect" by being five days short. In the court´s view, Deering´s election period ran until Sept. 22, 1998, which was 60 days from the date that she received the notice. In actuality, the court was incorrect, for the election period starts running when the notice is sent. But as indicated below, this misinterpretation did not affect the outcome of the case.

O.K. Industries did not receive Deering´s election form until Sept. 28, 1998, and therefore denied COBRA coverage. Deering sued the company for COBRA notice violations. When a federal district court ruled in O.K. Industries´ favor, Deering appealed.

She argued that the district court´s ruling was in error because her election notice had the incorrect date to return the form, giving her 55 days, rather than 60 days, to elect coverage. Therefore, she alleged that the company violated COBRA´s notice rules and should pay $23,000 in medical expenses that her COBRA coverage would have otherwise paid.

The 8th Circuit disagreed, finding that although the form had the "incorrect" date, she did not return that form until Sept. 28 - six days after the "correct" date of Sept. 22. Therefore, her election was untimely in any case. Accordingly, the 8th Circuit affirmed the lower court´s decision.

Implications

The trouble with this case from a technical standpoint is that the court based all of the relevant time periods on when the parties received the notices/election forms - not from when the forms were sent. That is, the court stated that the election period began 60 days from when the qualified beneficiary received the COBRA notice. This was wrong. The COBRA election period is measured from when the notice is sent.  

The court then stated that the election was late because the company did not receive it within 60 days of when the qualified beneficiary received the COBRA notice. Again, the court was wrong. The issue here is not when the plan administrator receives the election form; instead, it is when the qualified beneficiary sent the election form to the plan administrator. It is possible that the election could be postmarked within the proper 60-day election period, and yet received by the plan administrator after the end of that election period. In such a case, the qualified beneficiary´s election would be timely under COBRA.

 

From Mandated Health Benefits: The Cobra Guide, ©Thompson Publishing Group, Inc.

The HR industry´s premier online community and resource for Human Resource professionals: HR, human resources, HR community, human resources community, HR best practices, best practices in human resources, online communities for HR, HR articles, HR news, human resources articles, human resources news, HR events, leadership, performance management, staffing and recruitment, benefits, compensation, staffing, recruitment, workforce acquisition, human capital management, HR management, human resources management, HR metrics and measurement, organizational development, executive coaching, HR law, employment law, labor relations, hiring employees, HR outsourcing, human resources outsourcing, training and development
hr.com. human resources management resources for hr professionals. | HR menus | HR events | HR Sitemap