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U.A.PLUMBERSLOCALUNIONNo.68 FRINGE BENEFIT TRUST FUND PO BOX 8726 HOUSTON, TEXAS 772498726 (713) 8692592 (800) 8332980 FAX (713) 8624877 Model COBRA Continuation Coverage Election Notice (For use
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Provide the necessary details regarding the election for which the notice is being filled out. This may include the date, location, and type of election.
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02-newcobraelectionnoticedoc is a document used to notify employees of their rights under COBRA and to allow them to elect to continue their health insurance coverage.
Employers with group health plans that are subject to COBRA are required to provide the 02-newcobraelectionnoticedoc to eligible employees.
Employers can fill out the 02-newcobraelectionnoticedoc by providing all required information about the COBRA rights, coverage options, election periods, and premiums.
The purpose of 02-newcobraelectionnoticedoc is to inform employees about their rights to continue health insurance coverage under COBRA and to provide them with the necessary information to make an informed decision.
The 02-newcobraelectionnoticedoc must include details about the employee's COBRA rights, coverage options, election periods, premiums, and how to enroll in COBRA.
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