COBRA Administration
Best COBRA Administration for Healthcare
COBRA administration for healthcare: the products with verified evidence that they serve this segment, and how we evaluate them.
- products that fit
- 3
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Top 2 by LeadChange Score, then 1 not scored yetof 3 that fit · 1 not scored yet · scored for healthcare (reweighted)
COBRAGuard9.4 out of 10, High confidence
Rippling5.5 out of 10, Medium confidence
PaycomNot scored yet
See the full rankingHighMedium confidence
COBRA administration for healthcare, ranked
Ranked by LeadChange Score from verified facts; products with too few verified facts are not scored yet and come last. Scores are for COBRA administration, so a product's score or «not scored yet» here can differ from its own page, which scores its main category. Prices are list prices as published by each vendor.
Filter by verified facts
COBRAGuard
COBRAGuard publishes its COBRA prices: COBRATrak Plus at $0.85 per COBRA-eligible employee a month with a $29.95 minimum, or Premium at $1.50 with a $39.95 minimum and no per-letter fees. It mails notices within three days with proof of mailing and remits premiums twice a month.
- Pricing model
- Per employee2
Rippling
Primarily HRIS software; COBRA administration module is secondary · Scored 7.9/10 in HRIS Software on its own page
Rippling suits companies that want HR, payroll, IT and finance on one employee database and are ready to buy each product separately. Payroll for small businesses starts at $8 per user per month plus a $40 base fee.
Paycom
Primarily HCM software; COBRA administration module is secondary · Scored 6.5/10 in HCM Software on its own page; unscored here
Paycom suits US employers that want payroll, HR, time, hiring and talent management in one system with one login, and a dedicated specialist reached through live operators. Its Beti payroll asks employees to check and approve their own pay before each run.
- Pricing model
- Quote only5
Not scored for this segmentPaycom pricing
LeadChange Score: editorial assessment based on public information.
More tools for healthcare
- Applicant Tracking SystemsApplicant tracking systems for healthcare
- ASO ServicesASO services for healthcare
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- Benefits AdministrationBenefits administration for healthcare
- Corporate LMSCorporate LMS for healthcare
- Earned Wage AccessEarned wage access for healthcare
- Employee Discount ProgramsEmployee discount programs for healthcare
- Employee Engagement SoftwareEmployee engagement software for healthcare
- Employee Recognition SoftwareEmployee recognition software for healthcare
- Employee Scheduling SoftwareEmployee scheduling software for healthcare
Find your fit
By industry
More on COBRA administration
- All COBRA administration services, ranked
The full ranking, top picks and how to choose.
- COBRA Administration comparison table
Every product side by side: score, price and verified features.
- COBRA Administration pricing guide
Published list prices, cost by headcount and fees to ask about.
- COBRA administration for enterprises
The ranking reweighted for enterprises.
- COBRA administration for mid-sized companies
The ranking reweighted for mid-sized companies.
- COBRA administration for small business
The ranking reweighted for small business.
- COBRA administration for manufacturing
The ranking reweighted for manufacturing.
Frequently asked questions
What is the best COBRA administration for healthcare?
On the LeadChange Score weighted for healthcare, the highest-scoring of the 2 products with a published score are COBRAGuard (9.4/10) and Rippling (5.5).
Which COBRA administrators for healthcare offer a free trial?
COBRAGuard lists a free trial, according to its vendor: 1 of the 3 products for healthcare.
Which COBRA administrators for healthcare have a mobile app?
Paycom and Rippling confirm a mobile app; 1 of the 3 products for healthcare has none on file.
Which COBRA administrators for healthcare support single sign-on?
Paycom and Rippling document single sign-on; 1 of the 3 products for healthcare has none on file.
Which COBRA administrators for healthcare let participants elect coverage online?
COBRAGuard, Paycom, and Rippling let qualified beneficiaries elect coverage through an online portal, according to their own documentation.
Which COBRA administrators for healthcare bill and collect COBRA premiums?
COBRAGuard, Paycom, and Rippling bill qualified beneficiaries and collect their premiums, according to their own documentation.
Which COBRA administrators for healthcare send elections and terminations to insurance carriers?
COBRAGuard, Paycom, and Rippling notify insurance carriers of elections, reinstatements and terminations, according to their own documentation.
How we research
This ranking of COBRA administration for healthcare reweights the LeadChange Score: capability coverage 35%, pricing transparency & value 15%, integrations & API 10%, security & compliance 15%, fit & support 15%, and data confidence 10%. Only products with a verified fact showing they serve this segment are listed.
How this page was made
What it is built from
12 verified facts, each checked against the vendor's own pages or another primary source, most recently on Nov 10, 2026.
Method
Scored and compared with the LeadChange methodology, version 1.5. Read the methodology
Independent review
Not reviewed yet by our independent reviewer. How we review
Hands-on testing
We have not tested these products hands-on: this page uses public information only.
Who made it
The LeadChange Research Team, following a written research process. No named expert has reviewed this page. About us
Independence and errors
Who pays us never changes a score or a rank. If something here is wrong, tell us and we correct it publicly. Request a correction
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Sources
The 11 pages this page's facts come from. The date beside each is our last check of the facts taken from it (the oldest, when they differ). The numbers beside the figures above link here.
Quotes from the sources
- COBRAGuard cobraguard.net/pricing/dlpdf.php?Lives=0&Term=2“Base Charge Per COBRA Eligible Employee $1.50 $0.85”
- COBRAGuard cobraguard.net/pricing“Base Charge Per COBRA Eligible Employee $1.50 $0.85”
- Rippling rippling.com/pricing“Rippling's pricing depends on the products you select and the number of employees you have. Most products are priced per employee per month, while some may include a monthly base fee.”
- Rippling rippling.com/trust/security“Rippling's SOC 2 Type 2 report covers the trust services categories of Security, Confidentiality, and Availability, and is audited annually.”
- Paycom Paycom pricing (Paycom)“With Paycom, each quote is customized to the functionality a company needs and the number of employees.”
- Paycom paycom.com/payroll-hr-mobile-app“Paycom’s single, user-friendly app gives your workforce 24/7 access to manage its data and tasks with ease”
- Rippling (Apple App Store listing) apps.apple.com/us/app/rippling-hr-it-finance/id1231325957“Rippling makes it easy to access your benefits, request time off, submit expenses, view paystubs, share passwords, and more—all from your phone. ... Requires iOS 16.4 or later.”
- Paycom Paycom implementation (Paycom)“Adoption timelines vary, but most organizations are implemented within three months.”
- Rippling rippling.com/solutions/small-businesses“It takes most small businesses 1–3 weeks to set up Rippling.”
- Paycom paycom.com/about/security“We also offer SAML 2.0 (SSO) so clients can manage through their chosen identity provider application.”
- Rippling rippling.com/products/it“Single-sign on (SSO)”