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Page 12018 COBRA Group Continuation Coverage for Dental and Vision Plan Premiums Please refer to the Benefits Administration Manual (BAM) COBRA Section 400 for complete instructions on the completion
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COBRA group continuation coverage allows employees and their dependents to continue their health insurance benefits for a limited period of time after a qualifying event.
Employers with 20 or more employees are required to offer COBRA group continuation coverage to eligible employees.
To fill out the COBRA group continuation coverage forms, employers must provide the necessary information about the plan, the qualifying event, and the affected individuals.
The purpose of COBRA group continuation coverage is to provide a temporary extension of health insurance coverage to qualified beneficiaries after a qualifying event, such as termination of employment.
The COBRA group continuation coverage form must include details about the plan, the qualifying event, the affected individuals, and the premium payment requirements.
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