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CLEAR FORM enrollment/change/waiver group insurance form COBRA: If individual is a continued Qualifying Event P.O. Box 81889 Lincoln, NE 685011889 Date of Event Policy and Div. # 010 Cert. # 8006592223
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COBRA, or the Consolidated Omnibus Budget Reconciliation Act, allows individuals to continue their employer-sponsored health coverage for a limited time after certain qualifying events.
Employers with 20 or more employees are generally required to offer COBRA coverage to eligible employees and their dependents.
Individuals can fill out COBRA paperwork provided by their employer or benefits administrator to enroll in continued coverage.
The purpose of COBRA is to provide temporary health coverage for individuals who lose coverage due to qualifying events like job loss or a reduction in work hours.
COBRA paperwork typically requires information such as the individual's personal details, the qualifying event, and the coverage being continued.
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