For group health plans covering employees in more than one state, the state regulatory jurisdiction established for the plan may affect any of the following aspects EXCEPT

• A. Minimum enrollment percentages
• B. Eligibility qualifications
• C. Required contract provisions
• D. COBRA continuation of coverage

Answer: (D)

When a group health plan operates across multiple states, state regulators oversee several aspects of how the plan is designed and offered. States can set rules on enrollment percentages, eligibility qualifications, and required contract provisions because these fall under state insurance regulation and mandate insurance practices within their borders. However, COBRA continuation of coverage is a federal requirement that applies uniformly across all states. It isn’t established or altered by state regulatory jurisdiction, so COBRA is not affected by state rules. That’s why COBRA continuation of coverage is the aspect that the state jurisdiction would not govern.