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Simply print this letter on your letterhead after filling in the highlighted areas and deleting this paragraph. NAME ADDRESS CITY, ST INITIAL COBRA NOTICE TO EMPLOYEES, SPOUSES AND DEPENDENTSIntroductionYou
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If this coverage ends, it means that the insurance or protection provided by the policy will no longer be in effect.
The policyholder or insured individual is usually required to notify the insurance company if the coverage ends.
The policyholder can typically fill out a cancellation form provided by the insurance company to notify them that the coverage is ending.
The purpose of ending coverage is to terminate the insurance policy and stop receiving benefits or protection from it.
The policy number, reason for ending coverage, effective date of termination, and any required documentation must be reported when ending coverage.
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