DHR - Division of Statewide Benefits

Benefits Menu

Enrollment - COBRA Participants

Open Enrollment
Enrollment Outside of Open Enrollment

The 2024 Open Enrollment period is closed.
(Plan Year July 1, 2024 - June 30, 2025)

Unless you experience a qualifying event, Open Enrollment is your only chance to enroll, cancel coverage, or change plans for yourself, an eligible spouse, or dependent children.

What’s Changing Effective July 1, 2024

View the Quick Reference Chart

Important: Contact ASI COBRA with questions regarding your COBRA Continuation Coverage status and premium payments.

Learn more about the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), including general information and frequently asked questions.

I WANT TO...

INFORMATION

ENROLLMENT TOOLS

Benefits Available During Open Enrollment

Health Plans

Dental Plans

Vision Plans

Benefits Included With Health Plan Enrollment

Prescription

SurgeryPlus

Employee Assistance Program

New Enrollment

COBRA Participants must enroll within 60 days of receiving their qualifying event notice. Completed election forms and premium payments should be submitted directly to ASI COBRA.

COBRA Participants must make their initial premium payment within 45 days after electing COBRA coverage. After the initial premium payment is made, monthly premiums are due by the first of the month.

Qualifying Event Status Change

If you want to make a benefit or dependent change as a result of a qualifying event during the year, you must contact ASI COBRA within 30 days of the qualifying event and request the change.

See Qualifying Events for more information, including a list of supporting documentation.

For questions regarding your COBRA coverage and rates, contact ASI COBRA.

I WANT TO...

INFORMATION

ENROLLMENT TOOLS