How old are you? If you're not anywhere close to 59 1/2, or being able to retire/collect Social Security, I would take the severance and run. That way if the bottom drops out before decide to leave, and they lay you off, the severance offer might not be on the table anymore. Take that time to look for something else and still get "paid". As for health care, I would skip COBRA unless you have real health issues that you would depend on a benefit plan for. I'm on my wife's insurance after retirement, and will use it for major health care issues, but I joined the local APC (Advanced Primary Care) facility that did the direct care for my former agency. I pay $60 a month and can get primary care for just about everything including meds for $0 out of pocket. It does not compete with, nor it it health care insurance. Works for all the small things I need and is becoming a viable alternative to traditional health care through an employer. Good luck.