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When an employee leaves, questions about what happens to their health coverage come up quickly. This page gives HR, managers, and business owners a clear overview of common continuation options, including COBRA and individual health plans, so you can point employees in the right direction.
COBRA continuation coverage lets eligible separating employees stay on the employer’s group health plan for a limited time by paying the full premium themselves, sometimes plus a small administrative fee. In some situations, especially with smaller employers, state continuation (“mini‑COBRA”) can offer a similar temporary extension of coverage under state law. Many organizations simply provide the required notices, while others also share additional resources, but in every case it helps when employees understand which type of continuation applies and how the timelines and costs compare to options like an individual health plan through the marketplace.
After employment ends, some people choose an individual health plan instead of COBRA or state continuation. Depending on their situation, that might mean buying coverage directly from a carrier (off‑exchange), selecting a Marketplace plan (on‑exchange, often with potential financial help), qualifying for Medicaid based on income, or enrolling in Medicare if they are eligible due to age or disability. Employers handle this differently: some simply note that these options exist, while others share general resources or referral points, leaving the former employee to review details and choose what fits their needs best.
How much HR is involved in coverage decisions can vary by organization. At a minimum, employers are responsible for providing required notices, such as COBRA information, in a timely way. Some HR teams choose to go a step further by pointing departing employees toward general resources about COBRA, State Continuation, Marketplace and individual plans, Medicaid, or Medicare, while making it clear that the former employee is responsible for reviewing options and deciding what works best for their situation.
When an employee’s coverage is ending, it can be helpful to have a trusted partner you can reach out to with questions. We’re happy to support HR teams with COBRA notification documents and general guidance on how benefits and continuation options fit together, so you don’t have to sort through everything on your own. If you’d like more detail on continuation coverage, you can visit our COBRA information page, and you’re also welcome to share our employee coverage resources page with departing employees who want a plain‑language overview of their options.
Do you have a situation with separating employees that you’d like to talk through?
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