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C Office of Employer and Member Health Services P.O. Box 942714 Sacramento, CA 942292714 888 Callers (or 8882257377) Telecommunication Device for the Deaf (916) 7953240 Fax (916) 7951277 February

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How to fill out calpers cobra arra member

01

Step 1: Gather the necessary information including your CalPERS COBRA ARRA member packet, personal identification, and any relevant contact information.

02

Step 2: Review the CalPERS COBRA ARRA member packet carefully and make sure you understand all the requirements and instructions.

03

Step 3: Fill out the personal information section accurately, providing your full name, address, phone number, and other required details.

04

Step 4: Include the necessary documentation such as proof of qualifying event, proof of eligibility, and any other supporting documents as requested.

05

Step 5: Complete the enrollment forms and indicate your desired coverage options, including the start and end dates.

06

Step 6: Double-check all the information you have provided to ensure accuracy and completeness.

07

Step 7: Sign and date the completed forms as required.

08

Step 8: Submit the filled out CalPERS COBRA ARRA member forms and supporting documentation through the designated method specified in the packet.

09

Step 9: Keep a copy of all the filled out forms and supporting documents for your records.

10

Step 10: Follow up with CalPERS if you do not receive confirmation or further instructions within the specified time frame.

Who needs calpers cobra arra member?

01

Individuals who have recently experienced a qualifying event that resulted in the loss of their CalPERS health coverage.

02

Those who want to continue their health coverage through COBRA and are eligible for the CalPERS COBRA ARRA member program.

03

Spouses and dependents who were covered under the CalPERS health plan prior to the qualifying event and wish to maintain their coverage.

04

Individuals who want to ensure seamless healthcare coverage during a transitional period.

05

Employees who are no longer eligible for their employer's health coverage but still require healthcare benefits.

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What is calpers cobra arra member?

CalPERS COBRA ARRA member refers to a member covered under the Consolidated Omnibus Budget Reconciliation Act (COBRA) who is also eligible for additional assistance under the American Rescue Plan Act (ARRA) through CalPERS.

Who is required to file calpers cobra arra member?

Employers who sponsor a group health plan and have eligible COBRA participants who qualify for the ARRA premium assistance through CalPERS are required to file CalPERS COBRA ARRA member.

How to fill out calpers cobra arra member?

Employers can fill out the CalPERS COBRA ARRA member forms provided by CalPERS and submit them with the required information of eligible COBRA participants.

What is the purpose of calpers cobra arra member?

The purpose of CalPERS COBRA ARRA member is to provide premium assistance to eligible COBRA participants under the ARRA for a limited period.

What information must be reported on calpers cobra arra member?

The information to be reported on CalPERS COBRA ARRA member includes details of the eligible COBRA participants, the premium assistance provided, and other relevant details as required by CalPERS.

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