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Health & Fitness7 min readMay 25, 2026

Understanding COBRA Health Insurance: Costs, Subsidy Continuation, and Alternatives

Learn how the cost of continuing your employer-sponsored health insurance premium works under COBRA. Review admin surcharges and alternative options.

Job Transitions and Your Health Coverage

Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), workers who leave their jobs can continue their employer-sponsored health insurance coverage. While this protects you from gaps in medical coverage, it comes with a major financial shock.

When you transition to COBRA, you lose your employer's premium contribution and must pay 100% of the premium cost yourself, plus a 2% administrative fee.

How the Premium math Works

On average, US employers cover 70% to 85% of their employees' healthcare premium costs. Here is the difference in take-home costs during employment vs COBRA transition:

Expense ItemWhile EmployedUnder COBRA
Employee Share$150 / month (Example)$600 / month (Full Premium)
Employer Share$450 / month (Paid by company)$0 / month (Lost subsidy)
Admin Fee$0 / month12% - 2% surcharge ($12 / month)

Try the Live Understanding COBRA Health Insurance

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