Prefer not to do it yourself? ABY can help.
State continuation rules vary by state and are easy to get wrong alongside, or instead of, federal COBRA. ABY can administer state continuation so the right notices go out on time.
State-specific, often near the coverage start date. First confirm whether your state requires a general notice at enrollment.
State-specific window from the spouse's coverage start; mail separately if at a different address.
| Trigger | Due Date / Window | Notes |
|---|---|---|
| Employee initial enrollment | State-specific (often near coverage start date) | First confirm whether your state requires a general notice at enrollment; some states only require an election notice at the time of a qualifying event. |
| Spouse added to coverage | State-specific window from spouse's coverage start | Mail separately if the spouse has a different address. |
The event-based state continuation election notice (sent at a qualifying event) is covered on a separate page.
- State authority: Your state's statute or Department of Insurance bulletin describing continuation general notice requirements; this determines what you must say and when.
- Template: Carrier or TPA template if available (preferred starting point); otherwise use the framework in the Model Notice section below and validate against your state's rules.
- Plan and administrator info: Plan name, plan sponsor/administrator name, contact information, and a brief statement that continuation may be available if coverage ends.
- Recipient list: Newly covered employees and spouses, with current mailing addresses.
This page covers only the general notice at initial enrollment. The event-based election notice is handled on a separate page.
- Who sends: Varies by state and carrier contract; in some states the insurer or TPA is responsible for the general notice. Confirm in writing who handles this for your plan.
- Method: First-class mail is the standard; electronic delivery only if your state permits it and you meet applicable access and consent requirements.
- Proof of mailing: A Certificate of Mailing (USPS Form 3817), available at the post office, provides a dated, stamped record of when you deposited the notice.
- Separate recipients: Send to spouses at a different address individually; do not rely on a single household mailing.
- Notice copyThe exact general notice used, by state and plan year.
- Delivery logsMailing or e-delivery logs showing date, method, recipient names, and addresses.
- Returned mailReturned-mail handling notes and any re-mail actions taken.
- Carrier confirmationWritten confirmation from your carrier or TPA if they handle the general notice on your behalf.
Common traps
FAQs
Who should receive the State Continuation General Notice?
Newly covered employees and their spouses, if your state requires a general notice at enrollment.
When should it be distributed?
Within the window your state sets for initial enrollment; confirm the exact timing for your state before proceeding.
Does state continuation replace federal COBRA?
No. State continuation typically applies to employers not subject to federal COBRA (generally fewer than 20 employees). In some states, fully insured groups with 20 or more employees may be eligible for state continuation after federal COBRA ends.
Where is the election notice?
The event-based election notice, sent when a qualifying event occurs, is covered on a separate page.
- Your state's Department of Insurance website: search "[Your State] Department of Insurance continuation coverage" or "mini-COBRA." This is the authoritative source for notice requirements, qualifying events, and coverage periods in your state.
- Your carrier or TPA: fully insured carriers are typically familiar with their state's continuation rules and may provide templates or handle the notice on your behalf. Ask in writing what they cover.
- NCSL: State Continuation Coverage Laws, overview of state mini-COBRA laws by state
- NAIC (National Association of Insurance Commissioners): state insurance regulatory contacts
- No general notice required: Some states require only an election notice at a qualifying event, no general notice at enrollment. Confirm this in writing and document your determination.
- Insurer responsibility: In some states, the notice obligation falls on the insurer rather than the employer for fully insured plans. Get written confirmation of who handles it.
- Post-COBRA continuation: Some states require fully insured plans to offer state continuation after federal COBRA ends, which means 20+ employee groups may also be subject to state continuation rules at that point.
- Language and format requirements: Some states require specific language, translations, or formatting. Check your state's rules before finalizing any template.
Unlike federal COBRA, there is no universal model template for state continuation general notices. The framework below covers the elements most states require, but you must validate it against your state's law before using it. Your carrier or TPA may also provide a state-specific template, which is always the preferred starting point.
Date: [Date of Notice]
To: [Employee / Spouse Name]
[Mailing Address]
You are enrolled in a group health plan sponsored by [EMPLOYER / PLAN SPONSOR NAME]. Under [STATE] law, you and certain covered family members may have the right to continue this health coverage for a limited period if coverage ends due to certain qualifying events.
What is State Continuation Coverage?
[STATE] law allows eligible individuals to continue group health coverage after certain qualifying events, at their own expense, for up to [STATE CONTINUATION PERIOD, e.g., 18 months, 36 months].
Who May Be Eligible:
You and your covered dependents may be eligible to elect continuation coverage if coverage ends due to events such as:
- [List qualifying events applicable under your state's law, e.g., termination of employment, reduction in hours, divorce, death of covered employee, dependent losing eligibility]
How to Request Continuation Coverage:
If a qualifying event occurs, you must notify [EMPLOYER / INSURER / TPA NAME] within [STATE-REQUIRED NOTIFICATION PERIOD] days. Additional information about your continuation rights, premium costs, and election procedures will be provided at that time.
Questions about your state continuation rights may be directed to:
[Mailing Address]
[Phone Number]
[Email Address]
This is a general notice of your state continuation rights under [STATE] law. Specific election rights, premium costs, and procedures will be communicated when a qualifying event occurs. This notice does not create or expand any rights beyond those provided under applicable state law.