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NOTICE COBRA CONTINUATION: FAMILY MEMBERS WHO WERE NOT COVERED UNDER YOUR PREVIOUS GROUP PLAN MAY NOT BE ADDED UNTIL OPEN ENROLLMENTEMPLOYER: COMPLETE TOP SECTION, THEN PROVIDE FORM TO COBRA ELIGIBLE
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COBRA continuation family members are individuals who are eligible to continue receiving healthcare coverage under COBRA after a qualifying event.
Employers are required to file COBRA continuation family members.
To fill out COBRA continuation family members, employers must provide the necessary information about the qualifying event and the eligible individuals.
The purpose of COBRA continuation family members is to allow individuals to continue receiving healthcare coverage after a qualifying event, such as job loss or reduction in hours.
Employers must report information such as the qualifying event, the eligible individuals, and the coverage options available.
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