Important Information About the
2021 American Rescue Plan Act
The American Rescue Plan Act (ARPA), signed into law March 11, 2021, provides certain individuals a 100% subsidy of premiums for employer-sponsored group health insurance continued under the Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA) and similar state continuation of coverage program (sometimes referred to as mini-COBRA).
This law has certain compliance requirements for employers that vary based on company size and type of medical plan offered (fully insured vs. self funded).
We've provided the following information to help you meet your obligations. We encourage you to review the details of this new law on the U.S. Department of Labor website.
Model Notice
Notices for Assistance Eligible Individuals (AEIs) must be customized. We’ve highlighted the sections that you need to customize (or delete) prior to sending to an AEI. Download the model notice here. (MS Word document)
If you prefer, you may use the DOL notices found here.
ARPA Summary Document with AEI Verification Form
The AEI Verification Form must be customized. We’ve highlighted the sections that you need to customize prior to sending to an AEI. Find the AEI Verification Form here. (MS Word document)
Forms
Enrollment Forms
Choose the enrollment form based on your company's product and renewal date. Send the enrollment form along with the customized model notice and AEI Verification Form to your AEIs.
- Health Connections ACA-compliant plans
for groups effective or renewing April 2021 and beyond - Health Connections ACA-compliant plans
for groups effective or renewing Jan. 2021 through March 2021 - Health Connections ACA-compliant plans
for groups effective or renewing May 2020 through December 2020 - Fixed Funding Solutions
for groups effective or renewing April 2021 and beyond - Fixed Funding Solutions
for groups effective or renewing March 2021 & prior - ConnectiCare Direct (administered through CBIA Service Corp.)
for groups effective January 2021 and beyond - ConnectiCare Direct (administered through CBIA Service Corp.)
for groups effective August 2020 through December 2020 - ConnectiCare Benefits, Inc. (CBI) (administered through CBIA Service Corp.)
Other Forms
Department of Labor Links