How many folks do you know being displaced right now? It's happening in every market - tech, sales, finance, education, healthcare, etc.
And what do all these folks (in the US) have in common? They're all scrambling to figure out their insurance.
Proposal: All individuals get their insurance "on the market". No employer coverages. Employers can provide pre-tax dollars to pay for health insurance coverage (like an HSA but of the actual monthly cost, so it would either be in the same HSA/FSA bucket or a wholly separate account...can decide that later). That way, the family knows and has budgeted for their medical expenses for the year, regardless of their employment situation. Still have all the companies available to you to pick from. Still have all the plan options, but this gives people real ability to plan their life. Employers can offer perks of "assistance in coverage costs" and if you lose your job you lose that benefit...kind of like "employed vs cobra" now, but it's not as much of a shock when you lose your job and then see what COBRA actually costs.
I know of a situation where the insured spouse was displaced. You'd think: "Luckily, the benefits continue through the severance period"...and while that's true and good in one aspect (the immediacy of needing to find coverage is foregone) the flip side is not so great. They're going to be done with severance in Aug. Their coverage is good though Aug. Starting Sept 1 they have to find new insurance.
Now, you might also think: "Luckily, the spouse is employed and can get insurance," and, again, while true, their employer requires up to 60 days notice of a qualifying event to effectively change coverage. So, for them to be covered starting Sept 1, they have to submit paperwork of the qualifying event by June 1.
So, now you're thinking: "Fine, just submit the termination paperwork, and that'll be it". Nope. The spouse's employer requires the COBRA information and any other documentation showing the end date of coverage. The originally employed / covered spouse's company doesn't sent that letter until AFTER the severance period ends.
If you're doing math, that means: Last date of severance is (let's say) August 7. Aug 7 company 1 sends the info. It arrives (if we're pretending mail sends quickly) by Aug 14. Spouse submits it to company 2 Aug 17th (b/c sometimes mail comes after business hours). Now company 2 technically has until October 17th to cover them (so possibly starting coverage Oct or even Nov).
That means this couple has the potential to be without coverage or have to pay COBRA prices for 1-3 months (Aug, Sept, Oct).
"So just save the money" you say. Fine. We'll forgo the reality that COBRA can be 3-5x what the individual is paying through their company. But remember, each time you change insurance company coverages, your deductible restarts. So, while COBRA allows them to keep their coverage and their paid-to-date deductible...their coverage will start over in Sept/Oct when they move to the spouse's insurance.
So why not stay on COBRA? That's a fair argument, and maybe for this couple being in the back-half of the year, that makes sense. But what if you're laid off the first half of the year and you already had a decent number of health events?
The whole system is messed up and needs to be redone. I just feel for all these people in the middle of these horrific events already trying to figure out their upended lives without the stress of managing through health care too.