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Payroll Manager's - Kluwer Law International

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Update on COBRA Subsidy Extension<br />

As we reported in the last issue of <strong>Payroll</strong><br />

Manager’s Letter , the COBRA health care subsidy—<br />

and the related payroll tax credit for employers—<br />

has been extended. And that means your payroll<br />

department will be dealing with the subsidy and<br />

the related employment tax credit for an extended<br />

period of time. The Department of Labor (DOL)<br />

recently issued guidance on the subsidy extension<br />

[DOL Fact Sheet, COBRA Premium Reduction<br />

(Jan. 8, 2010)].<br />

Basic rules. The COBRA subsidy allows eligible<br />

individuals who lose their jobs and their family<br />

members to obtain continued health care coverage<br />

under an employer plan by paying just 35% of the<br />

otherwise required premium, with the employer<br />

picking up the remaining 65% of the cost. An<br />

employer providing the COBRA subsidy can then<br />

claim an offsetting credit against its payroll tax<br />

liabilities for its 65% of the cost.<br />

As originally enacted in early 2009, individuals<br />

were eligible for the subsidy if they were involuntarily<br />

terminated from employment during the<br />

period beginning September 1, 2008, and ending<br />

December 31, 2008. The subsidy itself applied for<br />

periods of health coverage that began on or after<br />

February 17, 2009, and lasted for a period of nine<br />

months.<br />

New rules. The Department of Defense Appropriations<br />

Act of 2010 continues the COBRA eligibility<br />

period for two months through February 28, 2010.<br />

Consequently, employees who lose their jobs in the<br />

first two months of 2010 will now qualify for the<br />

subsidy.<br />

In addition, the new law extends the subsidy<br />

from nine months to 15 months. Significantly, this<br />

extension applies to all eligible individuals—both<br />

individuals who become newly eligible in 2010 and<br />

individuals who were already receiving the subsidy<br />

in 2009.<br />

KEY POINT The new law does not<br />

extend the maximum COBRA coverage<br />

period beyond the 18 months that normally<br />

applies in the case of a termination of employment.<br />

As a result, individuals who became<br />

eligible for COBRA in September 2008 will<br />

still max out their COBRA coverage at the end<br />

of February.<br />

Transition rules. Because the subsidy period was<br />

originally limited to nine months, employees who<br />

were eligible for the subsidy at the outset reached<br />

the end of their subsidy period last November.<br />

However, the extension of the subsidy period to<br />

15 months was not enacted until mid-December. As<br />

a result, these employees may have either dropped<br />

COBRA coverage starting in December or continued<br />

the coverage by paying 100 percent of the<br />

premium.<br />

Individuals caught in this “transition” must<br />

receive notice of the changes to subsidy within 60<br />

days of the first day of the transition period. In other<br />

words, an employee whose nine-month subsidy ran<br />

out at the end of November should have received<br />

notice of the new law change by the end of January<br />

2010.<br />

According to the DOL, individuals who<br />

dropped COBRA coverage at the end of the<br />

nine-month subsidy period have until the later<br />

of (a) February 17, 2010, (b) 30 days after the notice<br />

of the extension is provided, or (c) the end of the<br />

otherwise applicable payment grace period to<br />

restore coverage and pay the premiums for the<br />

transition period.<br />

PAYROLL IMPACT Because of this<br />

transition, some eligible individuals will be<br />

paying premiums and receiving subsidies in<br />

2010 for coverage provided in December 2009.<br />

Despite the mismatch, the payroll tax credit<br />

for these subsidies should be claimed for 2010,<br />

not 2009. Internal Revenue Service guidance<br />

provides that the credit should be claimed on<br />

the employment tax return for the quarter in<br />

which the subsidy is provided or for a later<br />

quarter in the same calendar year [COBRA:<br />

Questions and Answers for Employers,<br />

Q&A FP-15].<br />

Individuals who continued coverage during the<br />

transition period by paying full premiums are<br />

also entitled to retroactive subsidies. The DOL<br />

guidance says these individuals should contact<br />

the plan administrator or sponsoring employer<br />

to discuss whether the subsidy will be provided<br />

either as a credit for future months of coverage or<br />

as a reimbursement of the premium overpayment.<br />

Here again, the employment tax credit for these<br />

subsidies should be claimed for the quarter in 2010<br />

when they are provided (whether in the form of<br />

a credit or reimbursement) or for a later quarter<br />

in 2010.<br />

4 <strong>Payroll</strong> Manager’s Letter

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