COBRA quote is huge, any alternatives? after 18 years as an administrative assistant

I just got my COBRA paperwork and the deadline to decide is close. My spouse has a chronic condition, so dropping coverage feels risky. How did you decide?

Thanks for writing this out. I went through something close to it last year, and it got easier once I kept a simple log of every call and form.

A quick call to the plan's member line cleared up two things for us that the letter did not.