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member cobra

mbr_cobra_ind
member·Updated Jun 23, 2026

Definition

ISO-11179 Definition

An indicator identifying a health plan member enrolled under the Consolidated Omnibus Budget Reconciliation Act continuation coverage provision, which allows employees and their dependents to temporarily continue group health coverage after qualifying events such as job loss, reduction in work hours, divorce, or death of the covered employee. COBRA coverage is identical to the prior employer group coverage but the member pays the full premium including the employer contribution plus a two percent administrative fee. COBRA coverage duration is typically 18 months for employment termination or reduction in hours and up to 36 months for other qualifying events.

Healthcare data teams use mbr_cobra_ind to correctly classify premium billing as member-paid rather than employer-subsidized, apply COBRA-specific enrollment period rules, and track COBRA election and premium payment status for coverage continuity management.

Standard Abbreviation

mbr_cobra_ind

Category

member

Production DDL — DIM_MEMBER

DIM_MEMBER.sql
CREATE OR REPLACE TABLE DIM_MEMBER (
    mbr_key           INTEGER        NOT NULL  -- surrogate key,
    mbr_id            VARCHAR(50)    NOT NULL  -- member identifier,
    mbr_first_nm      VARCHAR(100)             -- first name,
    mbr_last_nm       VARCHAR(100)             -- last name,
    mbr_birth_dt      DATE                     -- date of birth,
    mbr_gndr_cd       CHAR(1)                  -- gender code M/F/U,
    mbr_age           SMALLINT                 -- age in years,
    mbr_state_cd      CHAR(2)                  -- state code,
    mbr_zip_cd        VARCHAR(10)              -- zip code,
    mbr_elig_ind      BOOLEAN                  -- eligibility indicator,
    mbr_enrl_dt       DATE                     -- enrollment date,
    mbr_term_dt       DATE                     -- termination date,
    mbr_plan_cd       VARCHAR(20)              -- plan code,
    mbr_dual_elig_cd  VARCHAR(10)              -- dual eligibility code,
    load_dt           TIMESTAMP_NTZ  NOT NULL  -- load timestamp
);

Standard Snowflake DDL for the canonical member table. Convert to BigQuery or Databricks →

Why This Term Matters

Member and enrollment data governs who receives care and who pays for it — making it foundational to every downstream healthcare analytics workflow. Data engineers who understand member terminology build eligibility pipelines that prevent coverage gaps, correctly identify dual-eligible members, and support accurate risk adjustment submissions to CMS. Enrollment errors directly affect capitation payments and can trigger CMS corrective action plans.

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