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Does my severance agreement affect my health insurance — what happens to COBRA?

The short answer

Under federal COBRA law, job loss (other than for gross misconduct) is a qualifying event that generally entitles covered employees and their families to continue group health coverage for up to 18 months — at the full premium cost, which is typically higher than what you paid as an active employee. DOL guidance confirms that employers sometimes include a temporary COBRA subsidy in a severance or separation agreement to reduce that cost, but this is not required. Whether your severance agreement includes a COBRA subsidy, how long it lasts, and what conditions end it early are all in the agreement language. Scan yours to see what it says about health coverage before you sign.

What Dang reviews here: Dang reviews the clause language in your severance agreement — what the COBRA subsidy, release, non-compete, and non-disparagement terms say and what to ask about them. It does not verify wage, hour, or leave compliance.

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What COBRA and the severance agreement usually do together

COBRA — the Consolidated Omnibus Budget Reconciliation Act — is a federal law that allows workers and their families to temporarily continue group health coverage after a qualifying event such as job loss. DOL guidance reports that the standard COBRA period for job loss or reduction in hours is 18 months, and that you generally pay the full premium (both your share and the employer's former contribution) plus an administrative fee of up to 2%. For many workers, this cost is a significant jump from what they paid while employed.

A severance agreement sometimes includes a clause where the employer agrees to pay part or all of the COBRA premium for a stated period — commonly one to six months. DOL guidance notes this is not legally required. The severance agreement is where the subsidy lives: whether it is offered, for how long, under what conditions it ends (e.g., if you start a new job), and how payment is structured are all in the clause language.

Why people worry

Health coverage is often the most urgent practical concern after a layoff, and the gap between active-employee premium costs and full COBRA costs surprises many workers. People also report not noticing whether a COBRA subsidy clause is in the severance agreement — and signing without asking, then paying full premium for months when a subsidy might have been negotiable.

What to look for in your agreement

Questions to ask before signing

Why scan instead of guess

The general rule tells you the baseline. Your offer tells you what you’re actually being asked to sign — and the wording is what binds. Dang reads the document and flags the clauses worth reviewing, in plain English.

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Common questions

How long can I keep COBRA coverage after a layoff?

DOL guidance reports that COBRA coverage for job loss generally lasts up to 18 months, with potential extensions in the case of disability or a second qualifying event. The full premium is the employee's cost unless the severance agreement includes a subsidy.

Is a COBRA subsidy in a severance agreement required by law?

No — DOL guidance states that employer COBRA subsidies in severance agreements are not legally required; some employers offer them voluntarily or through negotiation. Whether your agreement includes one depends on its language.

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