Why the gap is the real danger
The risk is not just the cost of replacement cover, it is the window
between your employer plan ending and your new one starting. A few
days uninsured can be uneventful, or it can be the days a hospital
bill or a prescription falls due. The whole point of this checklist
is to close that window to zero, so cover is continuous from your
last covered day. That matters most if anyone on the plan has
ongoing treatment or regular medication, where even a short lapse
can be costly or disruptive.
Before you resign
Price your options (US)
In the US, do not default to COBRA out of convenience. Price every
route, because the cost difference is often large.
Replace cover (outside the US)
With public healthcare, your basic access does not depend on your
job. What you replace is the private or supplementary cover your
employer funded.
Before your last covered day
Mistakes that cause a lapse
Assuming an unconfirmed grace period
Coverage may end on your last day, not the end of the month. Get
the exact date in writing rather than guessing.
Missing the enrollment window
US special enrollment is time-limited, typically 60 days. Miss
it and you may be stuck waiting for the next open period.
Defaulting to COBRA
It is the easy option, but often the most expensive. A
marketplace or partner plan can cost much less, so always
compare.
Under-budgeting the cost
The premium your employer hid is now yours. Put the real figure
in your budget so your
runway is honest.
The full picture
For how COBRA, marketplace plans, and a partner's plan compare,
and the picture across the UK, Canada, Australia, New Zealand,
Singapore, and Ireland, read
health insurance after quitting.
Frequently asked questions
How do I avoid a gap in health insurance when I quit?
Confirm the exact date your employer cover ends, in writing, and
have a replacement plan arranged to start the same day with no
gap. In the US that means electing COBRA or buying a marketplace
plan within your special enrollment window; elsewhere it means
replacing any private cover your employer provided. Never assume
a grace period you have not confirmed.
Is COBRA or a marketplace plan better when quitting?
COBRA keeps your exact plan but you pay the full premium plus a
fee, so it is often expensive. A marketplace plan may be
cheaper, especially if your lower post-quit income qualifies you
for subsidies, and a partner's employer plan can be cheaper
still. The right move is to price all three before deciding
rather than defaulting to COBRA.
What should I budget for replacement health cover?
In the US, the only reliable figure is a real quote, because it
varies widely by age, location, and plan, and it is frequently
the single largest new cost after quitting. Get a COBRA and a
marketplace quote, then add the real monthly figure to your
post-quit budget so your runway reflects it.
Does this checklist save my progress?
Yes. The boxes you tick are saved in your browser and nothing is
sent anywhere, so your progress is there when you return on the
same device. You can also print the checklist or save it as a
PDF, and the Reset button clears your ticks.
Sources & references
Official sources for the rules and figures behind this page. Details change over time, so confirm the current specifics before you decide.