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Model COBRA Continuation Coverage Election Notice Instructions The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage election
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Note: The specific reasons for needing the form Department of Labor may vary depending on the individual's circumstances and the nature of their interaction with the department. It is important to consult the official Department of Labor guidelines or seek professional advice when determining whether this form is applicable to your situation.
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