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Department of Administrative & Financial Services Bureau of Human Resources CONTINUATION OF BENEFITS COVERAGE Employee Name Employee Number Department Bureau of Division Termination Unpaid Leave of
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What is continuation of benefits coverage?
Continuation of benefits coverage is a provision that allows employees to continue their health insurance coverage after leaving their job.
Who is required to file continuation of benefits coverage?
Employers are required to offer continuation of benefits coverage to employees who are eligible.
How to fill out continuation of benefits coverage?
Employees can fill out the continuation of benefits coverage form provided by their employer and submit it according to the instructions.
What is the purpose of continuation of benefits coverage?
The purpose of continuation of benefits coverage is to ensure that employees have access to health insurance even after leaving their job.
What information must be reported on continuation of benefits coverage?
Employees must report their personal information, employment history, and dependents who will be covered under the continuation of benefits.
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