If your group is subject to the Consolidated Omnibus Budget Reconciliation Act (COBRA),
there are a number of requirements with which you, the employer or plan administrator,
must comply. These include, but are not limited to, the following:
Please remember that the above information is a summary only. For full details,
please refer to the actual COBRA regulations.
Under our contract with your group, Arkansas Blue Cross does not assume your (the
employer's) obligation to provide benefits under COBRA if you, the employer, fail
to provide these notices at the time specified, nor shall Arkansas Blue Cross be
responsible for providing any COBRA notices to employees or dependents.
Questions regarding COBRA require application of a complex and constantly changing
set of federal regulations. Therefore, acquiring competent COBRA advice requires
legal counsel with expertise in COBRA. This is why we have contracted with Ceridian,
the nation's largest COBRA administrator, to assist you in administering your COBRA
obligations. If you choose not to use Ceridian, we ask that you seek legal counsel
competent in the area of COBRA law.
Please remember if you are not in full compliance with COBRA, you may be liable for
an IRS excise tax of up to $200 per employee for each day of noncompliance, and
ERISA penalties of $110 per employee per day of noncompliance; court awards may
involve claims costs, attorneys' fees and other expenses.
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The following is a brief summary of the process that occurs between Arkansas Blue
Cross, Ceridian and the employer.
Employer notifies Ceridian of the qualifying event within 14 days of the qualifying
event by submitting electronic forms to Ceridian via the Web, sending a file in
Ceridian specifications, or sending these notices to Ceridian by fax or mail using
Ceridian sends out the Qualifying Event Notices via the U.S. Postal Service first-class
mail with proof of mailing once the group informs Ceridian of the qualifying event,
and archives the notices.
Employer notifies Arkansas Blue Cross to terminate coverage by writing the employee
name, ID number, amount of adjustment, and if amount is "plus" or "minus," employees'
names and contract number on page 1 of your bill with a minus sign and the amount
Employee/dependent(s) has 60 days — from the date of the notification to the employee
or the benefit termination date, whichever is later — to elect COBRA coverage.
If the employee/dependent(s) elects coverage, Ceridian bills him/her for all premiums
due to current date.
From the date of COBRA election, the employee/dependent(s) has 45 days to return
the full payment to Ceridian.
When Ceridian receives payment, a form called a Participant Update (on pink
paper, see sample form) is sent or faxed to the employer (usually a 48-hour turnaround).
Upon receipt of the Participant Update form, the employer is to fax the form to
the Customer Accounts Division to reestablish appropriate coverage.
Customer Accounts Fax Number:
Or mail to:
Arkansas Blue Cross and Blue Shield
P. O. Box 2181
Little Rock, AR 72203-2181
Attn: Customer Accounts
Relationship Between Ceridian and Employer
Ceridian bills COBRA continuants in advance, on or about the 19th of the month.
The COBRA continuant's premium payment must be postmarked on or before the applicable
30-day grace period expiration date.
Ceridian remits an activity report (Participant Status Report) and a check to the
group for all premiums collected, on or about the 10th of the month after the month
Ceridian notifies the group of all enrollment changes or terminations of COBRA coverage
throughout the month by sending or faxing Participant Update forms.
Relationship Between Arkansas Blue Cross and Employer
Arkansas Blue Cross bills the group in advance for the following month of coverage.
Since the COBRA premium will not be sent to the group until the following month,
Arkansas Blue Cross will bill in arrears for premium due, or refund the group premium
paid whichever is applicable.
It is the responsibility of the group to notify Arkansas Blue Cross of any COBRA
participant's enrollment changes or terminations by faxing the Participant Update
form upon receipt from Ceridian to Customer Accounts at (501)378-3248.
If you, the group administrator, have questions about COBRA, and your employer is
using Ceridian's services, please feel free to contact Ceridian's Enhanced Services
Team at 1-877-622-0947 or firstname.lastname@example.org.
Please do not give the toll-free number or e-mail address to individuals insured
through your employer group, as they will need to continue to call the toll-free
number previously set up for them.
Also, should anyone have questions about this process, or become aware of any problems
experienced while using this process, please let us know so that we can contact
Ceridian for a response and action.
Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross
and Blue Shield Association and is licensed to offer health plans in all 75 counties
of Arkansas. Copyright © 2001-2015 Arkansas Blue Cross and Blue Shield