Employers – COBRA Continuation Only

Required Items for All COBRA Eligible Plans

Submit the below COBRA renewal information for all plans no later than 30 days before your benefit plans and rates renew:

• COBRA Renewal Form
• Full Monthly Premiums
  • Full 100% monthly premiums (no 2% COBRA administration fee added)
    • Please submit the total monthly premiums (do not separate employer/employee portions)
  • Submit a rate sheet directly from your insurance carrier to ensure that the proper rates are utilized by Alerus
  • Age-banded premiums must be submitted in Excel format
  • If there are no changes to rates, please acknowledge this in the renewal submission to Alerus
• Tiered Rate Structure (if applicable)
• Individual Plan Summary of Benefit and Coverage documents (SBCs)
• Group Numbers for any COBRA Eligible Plan (if there is a COBRA sub-group, please indicate)

For new or changed benefit information, please provide the following information:

• Carrier Name/Network
• Group Number(s)
• Is the plan fully or self-insured?
• Does coverage end as of date of event or end of the month in which the employee terminates?
• Effective Date of the Plan and Rates

Please submit all finalized renewal information in one email to cobra@alerus.com

Alerus may charge additional fees if incorrect renewal information is submitted and correction is needed.

If you have any questions please contact the COBRA Client Service Center at 952.253.1261

Pursuant to the terms of our contract, you are solely responsible for ensuring that the renewal and premium information provided to Alerus by you (the client) or your representative (your broker or consultant) is accurate. Alerus has no responsibility to confirm that the information provided to it is accurate and may rely on and use such information (e.g., for purposes of communicating the premiums a continuation participant must pay) without question.  Alerus has no liability whatsoever if the renewal and premium information provided to it is inaccurate. Additionally, for any renewal information that is received late (after the renewal date), the change in premiums for continuation members will be made effective first of month following date of receipt – we cannot back bill participants for late renewals. Alerus does not take responsibility for any premium discrepancies caused by late renewal information.