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Health Care Continuation (COBRA): New Hampshire

Health Care Continuation (COBRA) requirements for other states

Federal law and guidance on this subject should be reviewed together with this section.

Author: Francis P. Morley


  • New Hampshire continuation coverage is generally available to individuals regardless of the size of the employer. Individuals covered by an employer with 20 or more employees may elect either New Hampshire continuation coverage or COBRA, but not both. See New Hampshire Continuation Coverage Law.
  • New Hampshire law contains special provisions for divorced or legally separated spouses, including spouses in a same gender marriage. See Special Provisions for Divorced or Legally Separated Spouses.
  • New Hampshire has a variety of continuation coverage periods ranging from 39 weeks to 36 months or more. See Periods of Coverage.
  • New Hampshire law imposes most notice and procedural requirements upon the insurance carrier. See Notice Requirements and Procedures.
  • New Hampshire law has special election and procedural requirements. See Election Requirements and Procedures.
  • Employees have certain rights to pay group health insurance premiums when compensation is suspended or terminated due to strikes, lockouts or other labor disputes. Group insurance policyholders have certain obligations as well. See Strikes, Lockouts or Other Labor Disputes