What employees does my COBRA feed send to NPM?
Regular hires and rehires will send on the NPM file for COBRA if they reenroll in the new hire life event.
In order for a terminated employee to send correctly on the file, there must be a termination date, eligible termination reason, and end-dated plan benefits.
Below are the eligible termination reasons. If a reason is not listed, the employee is not mapped to send on the feed:
Termination Reason |
Event Name |
Reduction in Force |
Loss of Employee Coverage - Layoff |
Termination for Cause |
Loss of Employee Coverage - Termination |
Deceased |
Loss of Employee Coverage - Death |
Resigned |
Loss of Employee Coverage - Termination |
Retired |
Loss of Employee Coverage - Termination |
Resigned without Notice |
Loss of Employee Coverage - Termination |
Other |
Loss of Coverage - Other |
Laid Off |
Loss of Employee Coverage - Layoff |
Transferred |
Loss of Coverage - Other |
Medicare Eligible |
Loss of Dep Coverage - Medicare |
TIP:
A termination reason of Gross Misconduct will not be sent on the COBRA feed. Per the DOL, this reason is most often ineligible for COBRA. However, you can still elect to offer the benefit. If you decide to offer COBRA for someone terminated due to this reason, we recommend using a termination reason of Termination for Cause in order to transmit eligibility on the feed.
The feed will also send if an employee or dependent loses benefits via a life event. This typically happens if an employee is moving full-time to part-time, or a dependent overages.
Life Event |
COBRA Event |
Divorce or Legal Separation |
Loss of Spouse Coverage - Divorce |
You change employment status from Full Time to Part Time |
Loss of Employee Coverage - Reduction in Hours |
You take an unpaid Leave of Absence |
Loss of Coverage - LOA |
Significant Curtailment of Coverage |
Loss of Coverage - Other |
Over Age Dependent |
Loss of Dep Coverage - Loss of Dep Status |
Change due to Court Order |
Loss of Dep Coverage - Loss of Dep Status |
Changing Employment Status |
Loss of Employee Coverage - Reduction in Hours |
Dependent Loss of Coverage |
Loss of Dep Coverage - Other |
Divorce or Legal Separation (2) |
Loss of Spouse Coverage - Divorce |
Significant Curtailment of Coverage (2) |
Loss of Coverage - Other |
Change due to Court Order (2) |
Loss of Dep Coverage - Loss of Dep Status |
Changing Employment Status (2) |
Loss of Employee Coverage - Reduction in Hours |