Get the free CONTINUATION OF GROUP INSURANCE COVERAGE (COBRA)

14120CONTINUATION OF GROUP INSURANCE COVERAGE (COBRA) NORTH DAKOTA PUBLIC EMPLOYEES RETIREMENT SYSTEM SON 14120 (Rev. 012017)PAPERS 400 East Broadway PO Box 1657 Bismarck North Dakota 585021657 (701)

How to fill out continuation of group insurance

How to fill out continuation of group insurance

1. Step 1: Gather all the necessary documents including the continuation of group insurance form.
2. Step 2: Fill in your personal information such as your name, address, and contact details.
3. Step 3: Provide your employment details and the group insurance policy information.
4. Step 4: Specify the continuation date and the coverage you wish to continue.
5. Step 5: Sign the form and submit it to your employer or the insurance company for processing.
6. Step 6: Keep a copy of the filled form for your records.

Who needs continuation of group insurance?

1. Employees who are leaving a company but want to continue their group insurance coverage.
2. Individuals who prefer to maintain the benefits and coverage provided by their current group insurance policy.
3. People who have a pre-existing medical condition and want to ensure continuous insurance coverage.
4. Spouses and dependents of employees who wish to continue receiving insurance benefits.

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What is continuation of group insurance?

Continuation of group insurance is the option for individuals to continue their existing group insurance coverage for a certain period of time after leaving the group.

Who is required to file continuation of group insurance?

Individuals who are no longer eligible for the group insurance coverage, such as employees who are leaving their job or retirees, are required to file for continuation of group insurance.

How to fill out continuation of group insurance?

To fill out continuation of group insurance, individuals usually need to submit a form provided by the insurance company or employer, along with any required documentation or payment.

What is the purpose of continuation of group insurance?

The purpose of continuation of group insurance is to provide individuals with the opportunity to maintain their insurance coverage after a qualifying event that would otherwise result in loss of coverage.

What information must be reported on continuation of group insurance?

Information such as the individual's personal details, the reason for the eligibility for continuation, and any required payments or documentation must be reported on the continuation of group insurance form.