You will receive a COBRA notice and enrollment form in the mail from WageWorks after your health insurance coverage has ended. You will need to complete and sign the COBRA enrollment form and return it to WageWorks within 60 days. Once WageWorks receives your COBRA enrollment and initial premium payment, they will send it to the insurance company, Aetna, who will process the enrollment.

You must return your completed and signed COBRA enrollment form to WageWorks within 60 days of the COBRA notice mailing date.

If you lose coverage on February 15, your COBRA coverage will begin on February 16 assuming you actively enroll and pay for coverage. If you lose coverage on August 15, your COBRA coverage will begin on August 16.

The monthly cost for COBRA continuation coverage for the 2024-25 year (08/16/2024-08/15/2025) is:

• Student: $285.71
• Student + 1 dependent: $685.71
• Student + 2 or more dependents: $857.14

Note: Coverage for a partial month is pro-rated.