Get the free You are receiving this notice because the Group Insurance Commission (GIC) has been ...
Show details
The Commonwealth of Massachusetts
Group Insurance Commission
P.O. Box 8747
Boston, MA 02114Phone (617) 7272310
Fax (617) 2272681
TTY 711
GROUP HEALTH CONTINUATION COVERAGE UNDER COBRA
ELECTION NOTICE
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign you are receiving this
Edit your you are receiving this form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your you are receiving this form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing you are receiving this online
Follow the steps below to benefit from a competent PDF editor:
1
Log in to your account. Start Free Trial and register a profile if you don't have one.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit you are receiving this. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Try it for yourself by creating an account!
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out you are receiving this
How to fill out you are receiving this
01
Start by locating the 'You Are Receiving This' form.
02
Read the instructions and information provided on the form.
03
Fill in your personal information accurately, such as your name, address, and contact details.
04
Provide any additional information or documentation required, as stated on the form.
05
Double-check all the filled-in fields for any errors or missing information.
06
Sign and date the form as required.
07
Submit the completed form to the designated recipient or follow the instructions for submission.
Who needs you are receiving this?
01
Anyone who receives or is eligible to receive a specific document, service, or benefit may need to fill out the 'You Are Receiving This' form.
02
This form could be required by individuals applying for government assistance, grants, scholarships, or any type of program or service provided by an organization or institution.
03
The 'You Are Receiving This' form may also be required for individuals enrolling in a specific course, attending an event, or registering for a subscription or membership.
04
Ultimately, anyone who is requested to fill out this form from a recognized authority or organization should comply with the requirement.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How do I modify my you are receiving this in Gmail?
You can use pdfFiller’s add-on for Gmail in order to modify, fill out, and eSign your you are receiving this along with other documents right in your inbox. Find pdfFiller for Gmail in Google Workspace Marketplace. Use time you spend on handling your documents and eSignatures for more important things.
Can I create an electronic signature for signing my you are receiving this in Gmail?
Upload, type, or draw a signature in Gmail with the help of pdfFiller’s add-on. pdfFiller enables you to eSign your you are receiving this and other documents right in your inbox. Register your account in order to save signed documents and your personal signatures.
How do I complete you are receiving this on an Android device?
Complete your you are receiving this and other papers on your Android device by using the pdfFiller mobile app. The program includes all of the necessary document management tools, such as editing content, eSigning, annotating, sharing files, and so on. You will be able to view your papers at any time as long as you have an internet connection.
What is you are receiving this?
You are receiving this as a form of official communication or document.
Who is required to file you are receiving this?
The individual or entity specified in the document is required to file it.
How to fill out you are receiving this?
You can fill out the document by following the instructions provided in the form or seeking assistance from the relevant authorities.
What is the purpose of you are receiving this?
The purpose of the document is to convey important information or instructions to the recipient.
What information must be reported on you are receiving this?
The information that must be reported on the document will be specified in the form itself.
Fill out your you are receiving this online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
You Are Receiving This is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
