SEP After COBRA Expiration?

Oct 26, 2015

  1. Justin Bilyj
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    Justin Bilyj Guru

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    If someone is coming off of COBRA, does that allow them to have a SEP?

    Also for subsidies what if the other spouse has a medicare plan via ssdi, he's 63 (family income of 31k), she's 65 on medicare, what happens to his subsidies, goes up or down?
    Appreciate any help, I don't deal with ACA plans was just helping someone out.
     
  2. HammerTime
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    Social Security Disability Income (SSDI) counts as income for the household.

    google Health care.gov magi ( I don't have enough posts to post the link)

    They would have SEP after COBRA has expired. Have to apply within 60 days.

    I'm not sure what exactly you mean what happens to his subsidy. It's factored off 1 person applying for coverage.
     
  3. Justin Bilyj
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    Thank you for confirming that. I did factor in the SSDI as income, just want to make sure. Appreciate the feedback!
     
  4. jlallgier
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    jlallgier Super Genius

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  5. Justin Bilyj
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    Thank you for that link.
     
  6. TN_agent
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    With 31k in income though, they should still be eligible for silver cost-sharing subsidies for the non-Medicare spouse (that is under 200% of FPL for household of 2).
     
    TN_agent, Oct 27, 2015
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  7. Justin Bilyj
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    I use the Kaiser calculator, it's a little different than what ehealthinsurance shows it seems. It showed he had quite a subsidy, would have a better plan than what he currently has so he was weighing COBRA vs ACA.
     
  8. HammerTime
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    ACA will be significantly cheaper. Network might be smaller but if healthy for the most part probably not a huge deal.
     
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