Solutions

COBRA Insurance: How It Works and What It Costs

COBRA, which stands for the Consolidated Omnibus Budget Reconciliation Act, is a federal law that allows employees and their dependents to continue their employer-sponsored health coverage for a limited time after leaving a job, reducing hours, or experiencing another qualifying event.

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COBRA continuation coverage typically lasts up to 18 months for job loss or reduced hours, and up to 36 months for qualifying dependents or certain other events such as divorce from a covered employee. The key tradeoff is cost: under COBRA, you pay the full premium, both the share you previously paid and the share your employer was covering, plus an administrative fee of up to 2%. According to KFF’s 2025 Employer Health Benefits Survey, employers covered 83% of individual premiums and 74% of family premiums on average, meaning COBRA can cost significantly more than what employees were used to paying. In 2026, average COBRA premiums range from approximately $400 to $700 per month per individual and can exceed $2,400 per month for family coverage depending on the plan. An important 2026 development: the enhanced ACA Marketplace premium tax credits that had been in place since 2021 expired at the end of 2025, meaning marketplace subsidies are now more limited and the COBRA vs. marketplace cost comparison has shifted for many individuals.

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