COBRA Enrollments and Terminations
cobra_details
block, as shown below. Full details for COBRA submissions can be found in the Member Snapshot API Reference.
cobra_enrolled= true
, an eligibility_start_date
, and an eligibility_end_date
.
Noyo recommends always including the qualifying_event_reason
and qualifying_event_date
when available, as some carriers may request it.
cobra_details.eligibility_start_date
field should be the first day without regular coverage, as COBRA coverage must be continuous with regular coverage. For example, if a member’s regular coverage ends 11/30, the COBRA coverage would start on 12/1.cobra_details.eligibility_end_date
should reflect the final day of the member’s maximum COBRA-eligible period (usually 18 months).enrolled_member.effective_start_date
field should reflect the start date prior to COBRA coverage unless otherwise indicated by carrier requirements.enrolled_member.effective_end_date
field should be sent as datemax (9999-12-31
).enrolled_member.latest_change_effective_date
field should reflect the member’s first day of COBRA coverage.cobra_details.cobra_enrolled
field should remain = true
.enrolled_member.effective_end_date
field should reflect the last day of the member’s COBRA coverage.cobra_details.eligibility_end_date
field should be updated if the member is no longer eligible for COBRA.cobra_details
element.enrolled_member.effective_start_date
field should reflect the start of the new active (non-COBRA) coverage period.enrolled_member.effective_end_date
field should be sent as datemax
(9999-12-31
).