!nfonet - For University of Pittsburgh Medical Center staff
!nfonet - For University of Pittsburgh Medical Center staff
!nfonet - For University of Pittsburgh Medical Center staff
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Benefit Options

Enrollment Information

Additional Resources

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COBRA Coverage

If you or one of your covered dependents loses eligibility to participate in UPMC's benefit programs, you may, under COBRA laws, choose to extend participation in the following:

  • Medical, dental, and vision coverage
  • Employee Assistance Program
  • Health care flexible spending account
     
Events that may cause you
to no longer be eligible
for coverage include:
  
Events that may cause
your dependents to
no longer qualify for coverage:
  • You are laid off.
  • You reduce your work hours.
  • Your employment with UPMC ends (for reasons other than gross misconduct).
  • You do not return from a family medical leave of absence.
  
  • You die.
  • You and your spouse divorce or legally separate.
  • Your dependent child:
    - reaches age 19 and is not a full-time student (age limit is 25 if a full-time student)
    - no longer is a full-time student
    - marries
  • Your disabled dependent ceases to be disabled and does not meet the definition of an eligible dependent.
  • You become entitled to Medicare benefits.

To continue coverage, you or your affected dependent(s) who are covered at the time of the qualifying event will be required to pay the full premium, plus an administrative fee. You may continue coverage for an established time period, defined by the reason coverage ends.

In the event of a divorce or when a child no longer meets the definition of a dependent, you must contact the UPMC Employee Service Center within 30 days at 1-800-994-2752, option 3. Failure to notify the UPMC Employee Service Center of the status change within 60 days may result in forfeiture of your dependent's rights to COBRA continuation coverage.

Once a COBRA qualifying event is processed, a COBRA notice will be sent to the last known address on file. The qualified beneficiary has the later of 60 days from either the date coverage is lost or the date the notice is sent to the qualified beneficiary to elect COBRA continuation coverage. Once the COBRA election is received by the UPMC Employee Service Center the coverage will be reinstated from the date of the loss in coverage. Qualified beneficiaries have 45 days from the election date to make the first month’s premium payment. Thereafter, payments are due on the first day of each month. Download the COBRA payment schedule (PDF).

See the Health and Welfare Summary Plan Description and the COBRA Initial Notice (PDF) for details regarding your rights and responsibilities under COBRA.

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