A&H Policy ProvisionsQuestion 295 of 716

A California employee works for a small employer with 15 employees and loses coverage due to termination of employment. Federal COBRA does NOT apply because the employer has fewer than 20 employees. What is the employee's CONTINUATION right under California law?

a.No continuation right exists at all; because California defers entirely to federal law on group continuation, an employee of a fully insured small employer loses group coverage on the termination date and must buy an individual policy through Covered California during a special enrollment period
b.The employee receives exactly 6 months of continuation from the insurer, after which the county automatically enrolls the former employee in Medi-Cal without regard to income or assets, so neither the insurer nor the plan owes any further private continuation coverage under state law
c.Federal COBRA still applies regardless of employer size, because ERISA preempts the California small-employer statutes and extends the federal 18-month continuation period to every group health plan sold in the state, so the California mini-COBRA statutes have no field of operation at all
d.Cal-COBRA under California Insurance Code §1366.20 et seq. (and Health & Safety Code §1373.621 for HMOs) provides up to 36 months of continuation coverage for employees of small employers (2-19 employees) whose group health plan is fully insured by a California insurer or HMO

Explanation

California's 'mini-COBRA' (Cal-COBRA) statutes — California Insurance Code §1366.20 et seq. for insurers and Health & Safety Code §1373.621 for HMOs — fill the gap for small employers (2-19 employees) that are NOT subject to federal COBRA, so the response describing Cal-COBRA continuation of up to 36 months for a fully insured small-employer plan is correct. Cal-COBRA generally provides up to 36 months of continuation coverage following a qualifying event (longer than the federal COBRA 18-month period for termination/reduction in hours). For employees who exhaust federal COBRA at a larger employer, Cal-COBRA may also provide an additional period bringing the total to 36 months. The statement that no continuation right exists at all and the worker must buy an individual policy through Covered California is wrong; California fills the COBRA gap. The claim that ERISA preempts the California small-employer statutes so federal COBRA reaches every group plan regardless of size is wrong; federal COBRA applies only to employers with 20+ employees. The response giving 6 months and then automatic county enrollment fabricates a Medi-Cal trigger that does not exist.

Law Reference: California Insurance Code §1366.20 et seq.; CIC §1373.621 (Cal-COBRA / mini-COBRA)

This topic, taught in full in the California Life & Health Insurance Producer Exam guide. California Life & Health Insurance Producer Exam — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →

Practice all 716 questions free — no signup required.

Own the complete California Life & Health Insurance Producer Exam guide — PDF + EPUB, $19.99 →

Related questions on this topic

Last reviewed: · editorial process

PrepPass team · Verified against California Life & Health Insurance License Exam · How we review
Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)
Report