Entering COBRA Payments

Access the COBRA Payment Revisions form.

To enter COBRA payments:

1. Complete these required fields:

   • COBRA Participant

   • Check Number

   • Amount of Check

   • Bank Transit Number

   • Administrator Comment

2. Complete these fields as needed, and then click OK:

   • Account Number

   • COBRA Check Date

   • COBRA Check Arrival Date

3. If the amount entered is different from the amount due, click OK on Payment Amount.

4. To enter a partial payment, repeat steps 1 through 3.

   When the check amount is less than the payment amount due, the system does not automatically update the COBRA Coverage table (F08920) when you enter the payment. You must manually add the payment using the Coverage Review program (P08922).

   • Check Number

     Enter the number on the check received for payment of COBRA benefits.

   • Amount of Check

     Enter the amount of the payment check received for COBRA benefits.

   • Bank Transit Number

     Enter the number assigned to a particular bank by the Federal Reserve to facilitate the clearing of funds.

   • Administrator Comment

     Enter a user-defined name or remark that indicates the status of payment, such as paid in full or partial payment.

   • Account Number

     Enter the number of the checking account that the payment check was written against.

   • COBRA Check Date

     Enter the date on the check received for payment of COBRA benefits.

   • COBRA Check Arrival Date

     Enter the date that the check for payment of COBRA benefits was received.