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53512 CONTINUATION OF COVERAGE IN A MEDICAL SPENDING ACCOUNT (COBRA) NORTH DAKOTA PUBLIC EMPLOYEES RETIREMENT SYSTEM SON 53512 (REV. 01-2014) PAPERS ? PO Box 1657 ? Bismarck ? North Dakota 58502-1657

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What is continuation of coverage in?

Continuation of coverage is a provision that allows individuals to maintain their health insurance coverage even after experiencing a qualifying event, such as job loss or divorce.

Who is required to file continuation of coverage in?

Individuals who experience a qualifying event that causes them to lose their health insurance coverage are required to file continuation of coverage in.

How to fill out continuation of coverage in?

To fill out continuation of coverage in, individuals need to provide their personal information, details of the qualifying event, and select the coverage options they wish to continue.

What is the purpose of continuation of coverage in?

The purpose of continuation of coverage is to ensure that individuals have access to health insurance even after losing their previous coverage due to a qualifying event.

What information must be reported on continuation of coverage in?

On the continuation of coverage form, individuals must report their personal information, details of the qualifying event, and any relevant insurance policy numbers.

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