Title 42, The Public Health and WelfareRelease 119-110

§300bb–5 Election

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XX — REQUIREMENTS FOR CERTAIN GROUP HEALTH PLANS FOR CERTAIN STATE AND LOCAL EMPLOYEES › § 300bb–5

Last updated Sep 23, 2026|Official source

Summary

Gives people a clear time window to choose to keep their health coverage after a qualifying event. The election period must start no later than the day your coverage ends, must last at least 60 days, and must extend until at least 60 days after the later of the coverage end or the date you were given notice. If one qualified person signs up for continuation coverage, that choice is treated as covering any other qualified people who would lose coverage from the same event unless the election says otherwise. If the plan has different kinds of coverage, each person may pick the type they want. Offers a special 60-day chance for certain Trade Adjustment Assistance (TAA) people who did not elect earlier. A nonelecting TAA-eligible person may elect during the 60-day period that starts the first day of the month they become TAA-eligible, but they must make that election within 6 months of the TAA-related loss of coverage. Coverage starts at the beginning of that 60-day period and does not cover time before it. The time from the TAA-related loss until the start of that 60-day period is ignored when counting the 63-day preexisting-condition break. Definitions: Election period (time to choose coverage); Nonelecting TAA-eligible individual (TAA-eligible person who did not elect earlier); TAA-eligible individual (eligible TAA recipient or eligible alternative TAA recipient); TAA-related election period (the 60-day TAA window); TAA-related loss of coverage (loss of health benefits tied to separation that makes someone TAA-eligible).

Full Legal Text

Title 42, §300bb–5

The Public Health and Welfare, Source: USLM XML via OLRC

(a)In general
For purposes of this subchapter—
(1)Election period
The term “election period” means the period which—
(A)begins not later than the date on which coverage terminates under the plan by reason of a qualifying event,
(B)is of at least 60 days’ duration, and
(C)ends not earlier than 60 days after the later of—
(i)the date described in subparagraph (A), or
(ii)in the case of any qualified beneficiary who receives notice under section 300bb–6(4) of this title, the date of such notice.
(2)Effect of election on other beneficiaries
Except as otherwise specified in an election, any election of continuation coverage by a qualified beneficiary described in subparagraph (A)(i) or (B) of section 300bb–8(3) of this title shall be deemed to include an election of continuation coverage on behalf of any other qualified beneficiary who would lose coverage under the plan by reason of the qualifying event. If there is a choice among types of coverage under the plan, each qualified beneficiary is entitled to make a separate selection among such types of coverage.
(b)Temporary extension of COBRA election period for certain individuals
(1)In general
In the case of a nonelecting TAA-eligible individual and notwithstanding subsection (a), such individual may elect continuation coverage under this subchapter during the 60-day period that begins on the first day of the month in which the individual becomes a TAA-eligible individual, but only if such election is made not later than 6 months after the date of the TAA-related loss of coverage.
(2)Commencement of coverage; no reach-back
Any continuation coverage elected by a TAA-eligible individual under paragraph (1) shall commence at the beginning of the 60-day election period described in such paragraph and shall not include any period prior to such 60-day election period.
(3)Preexisting conditions
With respect to an individual who elects continuation coverage pursuant to paragraph (1), the period—
(A)beginning on the date of the TAA-related loss of coverage, and
(B)ending on the first day of the 60-day election period described in paragraph (1),
shall be disregarded for purposes of determining the 63-day periods referred to in section 2701(c)(2), section 1181(c)(2) of title 29, and section 9801(c)(2) of title 26.
(4)Definitions
For purposes of this subsection: (A) Nonelecting TAA-eligible individual
(B)TAA-eligible individual
The term “TAA-eligible individual” means—
(i)an eligible TAA recipient (as defined in paragraph (2) of section 35(c) of title 26), and
(ii)an eligible alternative TAA recipient (as defined in paragraph (3) of such section).
(C)TAA-related election period
The term “TAA-related election period” means, with respect to a TAA-related loss of coverage, the 60-day election period under this part 2 which is a direct consequence of such loss.
(D)TAA-related loss of coverage
The term “TAA-related loss of coverage” means, with respect to an individual whose separation from employment gives rise to being an TAA-eligible individual, the loss of health benefits coverage associated with such separation.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

section 2701, referred to in subsec. (b)(3), is a reference to section 2701 of act
July 1, 1944. section 2701, which was classified to section 300gg of this title, was renumbered section 2704, effective for plan years beginning on or after Jan. 1, 2014, with certain exceptions, and amended, by Pub. L. 111–148, title I, §§ 1201(2), 1563(c)(1), formerly § 1562(c)(1), title X, § 10107(b)(1), Mar. 23, 2010, 124 Stat. 154, 264, 911, and was transferred to section 300gg–3 of this title. A new section 2701 of act
July 1, 1944, related to fair health insurance premiums, was added, effective for plan years beginning on or after Jan. 1, 2014, and amended, by Pub. L. 111–148, title I, § 1201(4), title X, § 10103(a), Mar. 23, 2010, 124 Stat. 155, 892, and is classified to section 300gg of this title.

Amendments

2002—Pub. L. 107–210 designated existing provisions as subsec. (a), inserted subsec. heading, and added subsec. (b). 1986—Par. (2). Pub. L. 99–514 inserted “of continuation coverage” after “any election” and inserted at end “If there is a choice among types of coverage under the plan, each qualified beneficiary is entitled to make a separate selection among such types of coverage.”

Statutory Notes and Related Subsidiaries

Effective Date

of 2002 AmendmentAmendment by Pub. L. 107–210 applicable to petitions for certification filed under part 2 or 3 of subchapter II of chapter 12 of Title 19, Customs Duties, on or after the date that is 90 days after Aug. 6, 2002, except as otherwise provided, see section 151 of Pub. L. 107–210, set out as a note preceding section 2271 of Title 19.

Effective Date

of 1986 AmendmentAmendment by Pub. L. 99–514 effective, except as otherwise provided, as if included in enactment of the Consolidated Omnibus Budget Reconciliation Act of 1985, Pub. L. 99–272, see section 1895(e) of Pub. L. 99–514, set out as a note under section 162 of Title 26, Internal Revenue Code.

Construction

of 2002 AmendmentNothing in amendment by Pub. L. 107–210, other than provisions relating to COBRA continuation coverage and reporting requirements, to be construed as creating new mandate on any party regarding health insurance coverage, see section 203(f) of Pub. L. 107–210, set out as a

Construction

note under section 35 of Title 26, Internal Revenue Code. Plan

Amendments

Not Required Until January 1, 1989For provisions directing that if any

Amendments

made by subtitle A or subtitle C of title XI [§§ 1101–1147 and 1171–1177] or title XVIII [§§ 1800–1899A] of Pub. L. 99–514 require an amendment to any plan, such plan amendment shall not be required to be made before the first plan year beginning on or after Jan. 1, 1989, see section 1140 of Pub. L. 99–514, as amended, set out as a note under section 401 of Title 26, Internal Revenue Code.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300bb–5

Title 42, The Public Health and Welfare

Last Updated

Sep 23, 2026

Release point: 119-110