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J.W. TERRILL COBRA ACCOUNT ADMINISTRATOR THIRD PARTY ADMINISTRATOR (TPA) J.W. TERRILL BENEFIT ADMINISTRATORS, INC Revised 8/2006 I. POSITION SUMMARY: Responsible for all obligations associated with
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How to fill out cobra account administrator

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How to fill out cobra account administrator:

01
Gather necessary information: Before filling out the cobra account administrator form, gather all the necessary information such as the employer's name and address, the employee's personal details, and the qualifying event that triggers the need for COBRA coverage.
02
Obtain the form: The cobra account administrator form can usually be obtained from the employer or the employer's benefits administrator. Contact them to get a copy of the form or check if it is available online.
03
Fill in the employer's information: Provide the employer's name, address, and any other requested details related to the employer's COBRA plan.
04
Enter the employee's personal details: Fill in the employee's name, address, social security number, and any other necessary personal information. Double-check the accuracy of the provided information to avoid any mistakes that could delay the processing of the COBRA coverage.
05
Specify the qualifying event: Indicate the specific qualifying event that triggers the need for COBRA coverage. For example, if the qualifying event is the termination of employment, provide the exact date of termination and any additional relevant details.
06
Add dependent information: If the employee wishes to extend COBRA coverage to their dependents, provide the necessary details for each dependent, including their names, social security numbers, and relationship to the employee.
07
Review and sign the form: Carefully review all the information provided on the form to ensure its accuracy. After reviewing, sign and date the form as the account administrator. If applicable, you may need to provide additional documentation or proof of eligibility.

Who needs cobra account administrator?

01
Employers offering COBRA coverage: Employers who have 20 or more employees and provide group health insurance benefits are required by law to offer COBRA coverage. Therefore, they need a COBRA account administrator to manage the administration and compliance of these benefits.
02
Employees who experience a qualifying event: When an employee experiences a qualifying event such as job loss, reduction in work hours, or certain life events that result in the loss of health insurance coverage, they may need COBRA coverage. In such cases, an account administrator is needed to handle the process of enrolling in COBRA and managing the continuation of health insurance benefits.
03
Dependents of covered employees: Dependents such as spouses and children may also need COBRA coverage if they were covered under the employee's group health insurance plan and experience a qualifying event. A COBRA account administrator assists in enrolling and managing the coverage for these dependents.
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