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Cal-COBRA Information Sheet Explanation of California Continuation Benefits Replacement Act Cal-COBRA Important information regarding Cal-COBRA enrollment Cal-COBRA allows continued access to group health coverage for the following Please return your completed Cal-COBRA Enrollment Form that is enclosed with this packet to Kaiser Permanente by the date indicated on the attached letter. You may submit the enrollment via mail or fax. Simply follow the instructions on the enrollment form* Keep a...

How to fill out cal cobra kaiser

How to fill out Kaiser Permanente COBRA enrollment:

1. Go to the Kaiser Permanente website or contact their customer service to obtain the COBRA enrollment form.
2. Fill out the required personal information, such as your name, address, and contact details.
3. Provide your previous coverage details, including the name of your previous health insurance plan and the effective date of the COBRA coverage.
4. Indicate the reason for your qualifying event, which may include termination of employment, divorce, or reduction in working hours.
5. Include any eligible dependents who wish to be enrolled in the COBRA coverage.
6. Review the completed form and make sure that all the information is accurate and up-to-date.
7. Sign and date the enrollment form.
8. Submit the completed form along with any required documents or payments to the designated Kaiser Permanente COBRA enrollment address or online portal.

Who needs Kaiser Permanente COBRA enrollment:

1. Individuals who have experienced a qualifying event that resulted in the loss of their employer-sponsored health insurance coverage.
2. Individuals who were covered under a group health plan provided by Kaiser Permanente and are eligible for COBRA continuation coverage.
3. Dependents of the primary insured who were covered under the group health plan and wish to continue their coverage under COBRA.

People Also Ask about

How do I contact Kaiser Permanente Washington?

Call the New Member Welcome Team at 1-888-844-4607 (TTY 711) for support if: You have a scheduled surgery.

How to schedule an appointment with Kaiser Permanente in Washington?

Make an appointment online. Call us 24/7 at 1-800-813-2000 (TTY 711). Time: Same-day, next-day, evening, and weekend appointments available.

Who handles submitting a request for prior authorization?

Who is responsible for obtaining prior authorization? The healthcare provider is usually responsible for initiating prior authorization by submitting a request form to a patient's insurance provider.

How to submit prior authorization to Kaiser Permanente Washington?

Staff in Kaiser Permanente's Review Services department are available to accept your requests for authorization at 1-800-289-1363. We are available Monday through Friday from 8 a.m. to 5 p.m. PST.

What is the phone number for Kaiser WA provider?

If you still have a question, please call the Provider Assistance Unit toll-free at 1-888-767-4670. Monday through Friday, 8 a.m.-5 p.m.

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What is cal cobra kaiser?

Cal COBRA Kaiser is a state-specific extension of the federal COBRA health insurance program that allows eligible individuals to continue their health insurance coverage under a group plan for a limited time after losing their job or experiencing a qualifying event.

Who is required to file cal cobra kaiser?

Employers with 2 to 19 employees who offer group health insurance are required to provide Cal COBRA coverage to eligible former employees and their dependents following a qualifying event.

How to fill out cal cobra kaiser?

To fill out the Cal COBRA Kaiser application, you must complete the enrollment form provided by your employer or the insurance provider, including personal and dependent information, and submit it along with any required premium payments.

What is the purpose of cal cobra kaiser?

The purpose of Cal COBRA Kaiser is to extend health insurance coverage to laid-off employees and their dependents, ensuring they have continued access to medical care during a transitional period.

What information must be reported on cal cobra kaiser?

The information required on the Cal COBRA Kaiser application typically includes the insured individual's and dependents' names, addresses, Social Security numbers, the reason for coverage loss, and documentation proving eligibility.