1219 Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event Code

A Qualifying Event is any of the following which results in loss of coverage for a Qualified Beneficiary

Type

Identifier (ID)

Length

Min 1 / Max 2

Codes

Code	Description
1	Termination of Employment The termination or reduction in hours of the employee's employment, excluding termination due to gross misconduct. Maximum coverage period is 18 months
2	Reduction of work hours The termination or reduction in hours of the employee's employment, excluding termination due to gross misconduct. Maximum coverage period is 18 months
3	Medicare The employee's entitlement to Medicare benefits. Dependents only qualify for continuation of coverage. Maximum coverage period is 36 months
4	Death Death of the employee. Maximum coverage period is 36 months
5	Divorce Divorce or legal separation of the employee from his or her spouse. Maximum coverage period is 36 months
6	Separation Divorce or legal separation of the employee from his or her spouse. Maximum coverage period is 36 months
7	Ineligible Child A dependent child ceases to qualify as a dependent child under the plan's dependent definition. Maximum coverage period is 36 months
8	Bankruptcy of Retiree's Former Employer (26 U.S.C. 4980B(f)(3)(F))
9	Layoff
10	Leave of Absence
ZZ	Mutually Defined