COBRA Premium Costs: The Hidden Expense Employers & Brokers Can’t Ignore
4 minutes readAre you getting frustrated with having to explain the numbers over and over again? Wondering why so many eligible employees opt out? Do you find it challenging to explain COBRA premium costs to former employees? You’re not alone. Many employers face pushback when former employees see the full price of coverage—and it’s often because they weren’t prepared for it. COBRA is not only about compliance; it’s also about managing expectations. When employees are unaware of the actual cost of their coverage, it can lead to confusion and frustration. Clear communication upfront can help them make informed decisions and make your job a whole lot easier. The Hidden Costs of COBRA for Employers & Brokers Administrative Costs Add UpEmployers often incur expenses for COBRA compliance, including sending notices, tracking elections, and processing payments. These costs can become substantial, especially for larger organizations managing multiple COBRA beneficiaries. Non-Compliance Comes at a PriceFailing to meet COBRA regulations—such as missing deadlines or charging incorrect rates—can result in hefty penalties, reaching up to $110 per day per violation under ERISA. Cash Flow Challenges Although employers do not directly pay COBRA premiums, they may still face cash flow issues. When a high number of former employees elect COBRA coverage, employers must front the premium payments to insurance carriers and wait for reimbursement, potentially straining financial resources. Did you Know: On average, only 20% of eligible employees elect COBRA due to high costs, leaving 80% opting out, often leading to gaps in coverage. COBRA costs can be overwhelming, but with the right strategy, employers and brokers can manage them efficiently while staying compliant. Sterling Administration simplifies this process, ensuring accuracy, compliance, and a streamlined approach to COBRA management. At Sterling Administration, we’ve helped countless businesses navigate COBRA complexities, and we’ve seen firsthand how premium costs can create challenges—for both employers and employees. Let’s dive into what determines COBRA premium costs, the financial impact on individuals, and how you can make the process smoother. Why Are COBRA Premiums So Expensive? Most employees don’t realize how much their employer subsidizes their health insurance—until they leave. Under COBRA, they must cover 100% of their health plan premium, plus a 2% administrative fee, making their costs significantly higher than when they were employed. A 2023 Investopedia study highlights this financial fact, noting that the average annual employer-sponsored family health insurance premium was around $22,463. While employees typically paid only 27% of this cost while employed (about $505 per month), those continuing coverage under COBRA had to pay the full amount—often exceeding $1,872 per month, plus additional fees. 📌 No surprise that many eligible individuals choose to forgo COBRA coverage! The Real Impact of COBRA Premium Costs Many employees assume COBRA is a safety net, but when they see the premium, they experience sticker shock. The Data Speaks for Itself 📌 Only 38% of eligible individuals enroll in COBRA coverage due to high costs. (Source: U.S. Dept. of Labor)📌 55% of COBRA enrollees struggle with medical expenses compared to those with employer-sponsored plans. (Source: Healthcare Policy Journal)📌 Many COBRA participants end up dropping coverage before the full 18-month period due to financial strain. As an employer or broker, this presents a challenge: How do you help employees make an informed decision without overwhelming them? Questions Every Employer & Broker Should Ask: Are we clearly communicating the cost of COBRA coverage upfront? Do we provide alternative resources for employees who can’t afford COBRA? How can we simplify COBRA enrollment and premium tracking? Are we using the right COBRA administration partner to reduce our workload? If your current process is leading to confusion, late payments, or compliance risks, it might be time to rethink your COBRA administration strategy. How Sterling Administration Makes COBRA Easier for You At Sterling Administration, we take the stress out of COBRA management for brokers and employers. Here’s how: ✔ Automated Premium Tracking: Never worry about missed payments or compliance risks.✔ Clear, Simple Communication: We provide easy-to-understand resources for employees.✔ Hassle-Free Compliance: Our team stays ahead of regulatory changes, so you don’t have to.✔ Dedicated Support for Brokers & Employers: We act as an extension of your HR team, ensuring smooth administration. Here’s what our clients say: “Sterling Administration has been a game-changer for our COBRA management. Their expertise and automated solutions have saved us time, reduced errors, and made compliance effortless. We couldn’t ask for a better partner!” Let’s Make COBRA Administration Stress-Free We understand that navigating COBRA premium costs can be challenging. However, with the right strategy and a trusted partner like Sterling Administration, you can streamline the process, ensure compliance, and empower former employees to make informed choices. For employers, the key is balancing the administrative and financial aspects of COBRA while offering meaningful support to employees during times of transition. For brokers, it’s about delivering expert guidance, optimizing processes, and helping clients manage costs effectively. Ultimately, understanding COBRA premium costs from both perspectives leads to better outcomes for everyone. By staying informed and proactive, employers and brokers can transform a complex process into an opportunity—one that fosters trust, strengthens relationships, and reinforces their commitment to employee well-being. 📞 Need expert COBRA guidance? Contact Sterling Administration today. We’re here to help! Spend less than 30 minutes – well worth it. Discover a hassle-free COBRA management experience with Sterling in less than 30 minutes. BOOK YOUR DEMO