Plan Documents, Legal Notices & COBRA

Health Insurance Portability and Accountability Act (HIPAA) - Privacy & Security

HIPAA Notice of Privacy Practices for Personal Health Information

As sponsor of the group health plans and flexible spending accounts offered to state employees, DPA is subject to the privacy and security regulations of the Health Insurance Portability and Accountability Act (HIPAA) (45 CFR Parts 160 and 164). These regulations are better known as the Privacy Rule (45 CFR 164 subpart E) and the Security Rule (45 CFR 164 subpart C). The requirements placed upon DPA by the Privacy and Security Rules include the following.

For more information about HIPAA privacy or security contact steven.halterman@state.co.us.

Annual Required Legal Notices

• Newly hired employees
• Current employees

COBRA

The Consolidated Omnibus Reconciliation Act of 1985 (COBRA) allows employees and their covered dependents to continue group health coverage under certain circumstances. The State uses a COBRA third-party administrator (TPA). The TPA is responsible for sending COBRA notices and for managing COBRA enrollment, billing, payment, and cancellation. Your COBRA coverage will become effective once your first premium is received by the COBRA TPA. Coverage is retroactive once payment is received.

 COBRA Rates (FY 2022-23)

Questions?

For questions related to enrollment or payment, contact the COBRA Third-Party Administrator (TPA) at:

• Phone - 1-877-725-4545
• Fax - 515-273-1545

Employee Resources

• FY 2022-23 COBRA Premiums
• FY 2021-22 COBRA Premiums
• FY 2020-21 COBRA Premiums
• FY 2019-20 COBRA Premiums
• FY 2018-19 COBRA Premiums
• FY 2017-18 COBRA Premiums
• FY 2016-17 COBRA Premiums
• FY 2015-16 COBRA Premiums
• FY 2014-15 COBRA Premiums
• Know your COBRA Rights