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Health Insurance After You Leave the Corporate Plan

Austin is full of people who spent twenty years at a large employer and then left to consult, start a business, or simply stop. The benefits packet does not come along. Dagan Martinez-Vargas of CHA Lifeguard helps people in that transition compare what they are being offered on the way out with what they can buy on their own, and rebuild the life and disability coverage that used to be part of the job.

What changes when the employer plan ends

Three coverages usually end at the same time: the health plan, the group life insurance and the group disability insurance. Most people focus on the first and forget the other two until later.

For health coverage you generally have two paths. You can continue the employer plan for a limited time through COBRA, paying the full premium yourself, or you can buy your own plan. Losing employer coverage is a qualifying life event, so it usually opens a Special Enrollment window on HealthCare.gov with a deadline, often 60 days. Which path fits depends on your doctors, your expected income and how long you need the coverage.

What Dagan checks with you

  • Whether your current doctors and prescriptions are in the networks of the individual plans available in your county.
  • How COBRA compares with an individual or Marketplace plan for your situation, including what each costs over the months you need it.
  • What your household income is likely to be in the coming year, because that is what a Marketplace application asks for.
  • Individual term or whole life insurance to replace the group life policy that ended, before any health changes make that harder.
  • Individual disability coverage if you are going to keep working, especially as a consultant or business owner.

Timing matters

Special Enrollment windows close. If your last day is coming up or just passed, the useful time to talk is now, not after the window ends. If you are planning a departure for later in the year, a conversation in advance lets you line up coverage so there is no gap.

Coverage that usually comes up

Plan availability, benefits and costs vary by carrier, county and plan year.

Questions

Questions from people leaving corporate benefits

Should I take COBRA or buy my own plan?
It depends on your doctors, your expected income and how long you need coverage. COBRA keeps the same plan at full cost for a limited time; an individual or Marketplace plan may fit better for longer. Dagan compares both for your situation.
How long do I have after leaving my job to get a new plan?
Losing employer coverage is a qualifying life event that usually opens a Special Enrollment window on HealthCare.gov. HealthCare.gov sets the deadline, often 60 days from the loss of coverage, so it helps to act early.

Talk to Dagan

Ready to compare your options?

Book a consultation and pick the meeting type that fits your question: health insurance, life or disability insurance, cancer, heart and accident plans, or group benefits.

Speak About Health Insurance: 1 hour over Zoom.