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Model Continuation Coverage Election Notice (For use where coverage is subject to State continuation (Manitoba) requirements during the period that begins with July 10, 2009, and ends with December
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Editable PA Mini COBRA refers to the continuation of health coverage for certain employees and their dependents when coverage would otherwise end due to a qualifying event.
Employers with 2 to 19 employees (excluding self-employed individuals), and who offer health insurance coverage are required to file Editable PA Mini COBRA.
Editable PA Mini COBRA forms can be filled out by the employer or their designated administrator and must include information about the qualifying event, the individuals eligible for coverage, and the premium payment details.
The purpose of Editable PA Mini COBRA is to provide temporary continuation of health coverage for employees and their dependents who would otherwise lose coverage due to certain qualifying events.
Editable PA Mini COBRA forms must include information about the qualifying event, the individuals eligible for coverage, the period of coverage, and the premium payment details.
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