Disability Benefits 101: working with a disability in California
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Glossary: COBRA
<< Prev | All Topics | AB 925 | ADAP | Benefits at 18 | CalWORKs | CAPI | COBRA | Earned Income Tax Credit | Group Health | Group Disability | Group Life | HIPAA | IDAs | IHSS | Long Term Disability | Medi-Cal | Medi-Cal/HIPP | Medicare | PASS | Pell Grants | PAPs | Private Medical Insurance | SDI | Short Term Disability | SSI | SSDI | TANF | Ticket to Work | Work Opportunity Tax Credit | Workplace Personal Assistance | Youth | Next >>
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

Association-Sponsored Group Health Coverage

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Group coverage offered through an association like a union, guild, or trade organization.
B

Benefits Planner

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Someone who can help you understand or apply for benefit programs when you become disabled or turn 65. Their goal is to help you avoid financial complications while developing a sustainable plan for the future.
C

CARE/HIPP (Comprehensive AIDS Resources Emergency/Health Insurance Premium Payment Program)

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A program that pays for private health insurance premiums for individuals who are disabled due to HIV or AIDS and who do not qualify for Medi-Cal/HIPP. Enrollment is administered through AIDS organizations authorized by CARE/HIPP.

Community Work Incentives Coordinator (CWIC)

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The federal government pays benefits planners in communities around the country to help people think ahead about work incentives and benefits issues. CWIC'S are benefits planners who are trained by the Social Security Administration to assist beneficiaries with programs including Supplemental Security Income (SSI), and Social Security Disability Insurance (SSDI) in addition to other related programs.

Consolidated Omnibus Budget Reconciliation Act (COBRA) Administrator

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An outside company that processes COBRA and/or OBRA premiums. As this company may be located in another state, it may not be familiar with health insurance laws in the state of California.
D

Dependent

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A person, usually a child, who is economically dependent on another person. Different programs have different specific definition of when someone is a dependent.

Domestic Partner

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A couple who registers as a domestic partnerOffsite Link and meets the following requirements:

• We have a common residence;
• Neither of us is married to someone else, or is a member of another domestic partnership with someone else that has not been terminated, dissolved, or adjudged a nullity;
• We are not related by blood in a way that would prevent us from being married to each other in this state;
• We are both at least 18 years of age;
• We are both members of the same sex or one/or both of us is/are over the age of 62 and meet the eligibility criteria under Title II of the Social Security Act as defined in 42 U.S.C. Section 402(a) for old-age insurance benefits or Title XVI of the Social Security Act as defined in 42 U.S.C Section 1381 for aged individuals;
• We are both capable of consenting to the domestic partnership;
• We consent to the jurisdiction of the Superior Courts of California for the purpose of a proceeding to obtain a judgment of dissolution or nullity of the domestic partnership or for legal separation of partners in the domestic partnership, or for any other proceeding related to the partners’ rights and obligations, even if one or both partners ceases to be a resident of, or to maintain a domicile in, this state.

E

Employer-Sponsored Health Coverage

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Health coverage offered through an employer.
G

Gross Misconduct

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A serious violation of company policy or the commission of a crime affecting the workplace that may result in the loss of COBRA benefits. Although "gross misconduct" is not defined in COBRA legislation, past examples include embezzlement, misrepresentation, theft, and non-work related violence.

Group Coverage

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Coverage offered to an individual through a group, such as employer-sponsored, association-affiliated or professional group coverage.
I

Individual Coverage

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Coverage that you buy directly from an insurance company, usually through an agent. You are responsible for paying for the entire premium, and most individual policies require medical underwriting.
M

Medi-Cal/HIPP (Medi-Cal/Health Insurance Premium Payment)

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A state program that pays for private health insurance premiums. For information on application procedures, call (866) 298-8443.
P

Premium

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A regularly scheduled payment to an insurer or health care plan.
Q

Qualifying Events

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Events that may end individuals' employer-sponsored group health coverage but qualify them for COBRA or other continuation coverage. See the COBRA Program Description for details.
S

Self-insured Plan

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A plan that covers an individual’s medical expenses with company funds set aside to pay health claims. In general, self-insured plans are subject to federal, but not state, health coverage laws. Ask your employer or plan to find out if you are in a self-insured plan.

Special Enrollment Rights

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Rights that allow an individual to qualify for health coverage without having to undergo medical underwriting. Special Enrollment Rights can be requested from an employer within 30 days after previous health coverage is exhausted or terminated. They apply to individuals who do not enroll during the initial enrollment period or have lost their health coverage.
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