HealthLawProf Blog

Editor: Katharine Van Tassel
Concordia University School of Law

Saturday, January 10, 2009

COBRA: Too Costly

The Washington Post has an article today on a new report by Families USA on a problem with COBRA - it costs a lot - as many newly unemployed are finding out.  Ceci Connelly writes,

The cost of buying health insurance for unemployed Americans who try to purchase coverage through a former employer consumes 30 percent to 84 percent of standard unemployment benefits, according to a report released yesterday.

Because few people can afford that, the authors say, the result is a growing number of people being hit with the double whammy of no job and no health coverage.  In 1985, Congress passed legislation enabling newly unemployed Americans to extend their employer-based health insurance for up to 18 months. But under the program, known as COBRA, the individual must pay 102 percent of the policy's full cost.

"COBRA health coverage is great in theory and lousy in reality," said Ron Pollack, whose liberal advocacy group, Families USA, published the analysis. "For the vast majority of workers who are laid off, they and their families are likely to join the ranks of the uninsured." . . . .

For every 1 percentage point rise in unemployment, the number of uninsured Americans climbs by 1.1 percent, according to an analysis last spring by the Kaiser Family Foundation, an independent research group.

Pollack and  House Speaker Nancy Pelosi (D-Calif.) said the new report highlights the need to include health insurance subsidies in the economic recovery package being crafted this month.  "Without that," Pelosi spokesman Brendan Daly said, "they simply cannot afford to pay for temporary continuation of their health insurance."

But Nina Owcharenko, a health policy analyst at the conservative Heritage Foundation, said it would be wiser to offer unemployed Americans a broad range of health insurance options, including high-deductible private policies or new state-based programs.  Given how expensive COBRA is, she said, alternatives would "save the individual money and save taxpayer money."

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