Certain COBRA and HIPAA Special Enrollment deadlines have been extended for individuals affected by Hurricane Helene, Tropical Storm Helene, and Hurricane Milton.
Deadline Extensions
Disaster Relief Notice 2024-01 mandates the extension of the following deadlines:
For Participants
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COBRA 60-day election period
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COBRA premium payments
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HIPAA special enrollment 60-day election period
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FSA/HRA claims submission deadline
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FSA/HRA claims appeal deadline
For Employers
- Providing COBRA Qualifying Event notice to participants
Under the extension, the regular deadlines are paused until the end of the “Relief Period” designated as May 1, 2025.
Relief Period Eligibility
The relief applies to individuals in designated disaster areas in Florida, Georgia, North Carolina, South Carolina, Virginia, and Tennessee.
Individuals who resided, lived, or worked in a designated disaster area at the time of the disaster, or whose benefit coverage was under a plan directly affected by the disasters, are eligible for these extensions.
The relief period ends on May 1, 2025, for all affected individuals. The start date varies depending on the location of the individual and which disaster affected them. The start of the Relief Period aligns with the beginning of the “incident period” established by the Federal Emergency Management Agency (FEMA).
How will impacted individuals find out?
To ensure that affected individuals are informed about the deadline extensions, we all need to collaborate. Since Vita does not maintain accurate information about those who reside, live, or work in the impacted areas at the time of the various disasters, employer assistance will be crucial in spreading the word to eligible individuals.
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Employers will need to conduct outreach to any impacted employees.
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Vita will provide a short notice to employers to distribute to employees they are aware of who reside, live, or work in one of the impacted areas.
Vita’s Concierge team will guide employees and COBRA-qualified beneficiaries who contact us with inquiries.
What is the process for activating deadline extensions?
Vita cannot automatically apply deadline extensions to specific participants in The Vita Flex or COBRA platforms, as there is no way to know which individuals resided, lived, or worked in the impacted areas at the time of the disasters.
All deadline extensions will be handled via participant request. Affected individuals may contact the Vita Concierge team to request an extension.
FSA/HRA Deadline Extension
The claims submission deadline for eligible individuals will be extended to the end of the Relief Period + 90 days. For calendar year plans, this means the normal March 31st deadline for the 2024 Plan Year will be extended to July 30, 2025.
The relief did not provide any extensions for the dates when claims must be incurred under an FSA or HRA plan.
COBRA Beneficiary Assistance
The Vita Concierge team will assist individuals who have their election window closed or whose coverage was terminated for late payment according to the “regular” rules. Election period/payment extensions and coverage reinstatements will be applied on an individual basis when beneficiaries identify themselves as eligible.
Impact on Employers
The FSA/HRA deadline extensions have two direct impacts on employers.
Plan Year Close
The plan year “close” must be extended if any participants qualify for the extension. This means the plan must remain open to allow for any potential claims submitted under the extended deadline. Typically plan close-out occurs in mid-April for calendar year plans, but for the 2024 plan year, this will be extended to mid-August in 2025.
Rollover Timing
Rollover processing is contingent on closing out the prior plan year. Calculations of final rollover balances cannot be completed until after the claims runout period expires. Therefore, rollovers are held until after the plan closes, and balances are then transferred to participant accounts in late April. Despite the requirement to accommodate claims submitted pursuant to the disaster extension, Vita plans to finalize rollover balances according to the normal schedule. We recognize this may create plan-level reporting difficulties and manual processing requirements for participants eligible for the extensions. However, we believe maintaining the standard rollover process, while inconveniencing a few, will benefit the majority of participants who depend on their rollover balances being available. Vita will work to minimize disruption for individuals eligible for the extensions.
Fiduciary Compliance Guidance for Employers
The EBSA notice provides clear intent for plan sponsors relative to their fiduciary duty:
The guiding principle for plans and plan fiduciaries must be to act reasonably, prudently, and in the interest of the covered workers and their families who rely on their health, retirement, and other employee benefit plans for their physical and economic well-being. Plan fiduciaries should make reasonable accommodations to prevent the loss of benefits or undue delay in benefits payments in such cases and should attempt to minimize the possibility of individuals losing benefits because of a failure to comply with pre-established timeframes.
Vita will work with plan sponsors to uphold the spirit of this message while supporting plan participants impacted by these disasters.
Examples of Deadline Extensions
For reference in understanding how the deadline extensions will apply to individuals in various situations, the following examples may help.
FSA/HRA Claims Submission Run Out
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Plan Year end
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12/31/2024
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Normal run out period end (90 days)
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3/31/2025
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Relief period end (5/1/2025) + 90 days
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7/30/2025
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Final claims filing date
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7/30/2025
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FSA/HRA Claims Appeal
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Claim denial date
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12/01/2024
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Normal appeal period (180 days)
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5/30/2025
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Relief Period End (5/1/2025) + 90 days
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10/28/2025
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Final claims appeal date
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10/28/2025
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COBRA Election before Relief Period
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Incident period start date
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10/05/2024
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Qualifying Event and loss of coverage date
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10/01/2024
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COBRA Qualified Event Notice mailing date
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10/01/2024
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“Normal” time period for making election:
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60 days
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Relief period end
(5/1/2025) + 60 days - 5 days that had passed before the incident start period (10/5/2024)
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6/25/2025
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COBRA Election during Relief Period
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Qualifying Event and loss of coverage date
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12/01/2024
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COBRA Qualified Event Notice mailing date
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12/10/2024
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“Normal” time period for making election
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60 days
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Relief period end (5/1/2025) + 60 days
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6/30/2025
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COBRA Election after Relief Period
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Qualifying Event and loss of coverage date
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5/15/2025
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COBRA Qualified Event Notice mailing date
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5/20/2025
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“Normal” elect-by Date (60 days)
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7/19/2025
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Initial Payment before Relief Period
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Qualifying Event date
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10/01/2024
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COBRA Qualified Event Notice mailing date
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10/01/2024
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“Normal” time period for making initial payment
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45 days
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Participant elected
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10/15/2024
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Relief period (5/1/2025) + 45 days
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6/15/2025
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Initial Payment during the Relief Period
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Qualifying Event date:
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10/01/2024
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COBRA Qualified Event Notice mailing date
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10/01/2024
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“Normal” time period for making initial payment
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45 days
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Initial payment relief period + 45 days
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6/15/2025
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Required premiums with extended deadline
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Oct 2024 through May 2025
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First premium with normal premium deadline
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June 2025
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Ongoing Payment during the Relief Period
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Qualifying Event date
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8/01/2024
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COBRA Qualified Event Notice mailing date
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8/15/2024
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Participant elected
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9/01/2024
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Initial payment
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9/01/2024
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Next payment due date Relief Period + 30 days
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5/31/2025
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Required premiums with extended deadline
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Oct 2024 through May 2025 Due 5/31/2025
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First premium with normal premium deadline
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June 2025
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Resources
FSA/HRA/COBRA Participant Notice
Disaster Relief Notice 2024-01
Agencies Providing Notice: The public notice of relief was provided in Disaster Relief Notice 2024-01 and a related rule. These actions were taken jointly by the Employee Benefits Security Administration (EBSA), the Department of Labor (DOL), and the Department of Treasury and apply to certain ERISA employee benefit plans.