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Users Manual Cobra 1 15.0KW to 21.0KW Standby Emergency Lighting Inverter Technical Manual #018011301 Revision NR Phone: 1.877.DSM.POWER 1.877.377.6769 Fax: 909.930.3335 Website: www.DSPManufacturing.com
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This is a specific form used to report cobra insurance coverage for a 15kw power unit.
Employers or plan administrators offering cobra insurance coverage are required to file this form.
You can fill out the form electronically or manually with the required information about cobra insurance coverage.
The purpose of this form is to report information about cobra insurance coverage offered to employees.
Information such as the name of the plan, coverage details, and the number of individuals covered must be reported on this form.
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