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Life changes3 min read

Leaving a Corporate Job in Austin: What Happens to Your Health Insurance

COBRA or a Marketplace plan? What to know about the 60-day window, group life and disability coverage that end with the job, and how to avoid a gap.

By Dagan Martinez-Vargas, independent insurance broker in Austin, Texas

A bridge over Lady Bird Lake leading toward the downtown Austin skyline

Austin is full of people who spent years at a large employer and then left to consult, start a business or step back. The paycheck is one change. The benefits packet is another, and it is the one most people underestimate. This article lays out what ends when you leave, what your options are for health coverage, and the order in which to handle it.

Three coverages usually end together

When employer coverage ends, it is rarely just the health plan. Group life insurance and group disability insurance, if you had them, usually end too. Most people focus on health coverage first and remember the other two later, sometimes after a health change has made replacing them harder. Put all three on the list from the start.

Option one: continue the employer plan through COBRA

COBRA lets most people who leave a larger employer continue the same group health plan for a limited time, usually up to 18 months, by paying the full premium themselves plus a small administrative fee. The advantage is continuity: same plan, same doctors, same deductible progress. The disadvantage is cost, because the employer's share disappears.

Your employer or its benefits administrator sends a COBRA election notice, and you generally have 60 days from that notice or the loss of coverage, whichever is later, to elect it.

Option two: buy your own plan

Losing employer coverage is a qualifying life event. That usually opens a Special Enrollment window on HealthCare.gov, typically 60 days from the date coverage ends, during which you can enroll in an individual or family Marketplace plan without waiting for Open Enrollment. Depending on your household income for the coming year, you may qualify for savings on the premium. HealthCare.gov decides eligibility.

Individual plans have their own networks, so the first check is whether your doctors and prescriptions are covered. That is the comparison an independent broker does for you.

How to decide between the two

Ask three questions. Which path includes your doctors? What will each cost over the months you need it, not just this month? And how long do you need the coverage: a short bridge to a new employer plan, or something that will last?

Many people in Austin who leave to consult or start a business find that an individual plan fits better for the long run, while someone bridging a two-month gap may prefer COBRA. There is no universal answer, which is why the comparison is worth doing with real numbers.

Replace the life and disability coverage

Group life insurance is usually a multiple of salary and ends with the job. If people depend on your income, an individual term or whole life policy replaces it. Buying it before any health changes is easier than buying it after.

If you plan to keep working, especially on your own, individual disability insurance replaces the group policy that ended. Read about disability insurance for how the waiting period and benefit duration work.

Watch the calendar

Both the COBRA election window and the Marketplace Special Enrollment window close. If your last day is coming up or just passed, the useful time to compare options is now. If you are planning a departure later in the year, a conversation in advance lets you line everything up with no gap.

Talk it through

Dagan Martinez-Vargas of CHA Lifeguard works with people leaving corporate benefits in Austin and across Texas. Book a health insurance call, or read the guide for people leaving corporate benefits.

This article is general information, not legal or tax advice. COBRA rules depend on employer size and plan type; HealthCare.gov sets Special Enrollment rules and deadlines. Plan availability, benefits and costs vary by carrier, county and plan year.

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