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Check box Check the appropriate boxCeridian COBRA Continuation Services CS613/7/04COBRA QUALIFYING EVENT PLEASE CHECK ORIGINAL NOTICE If FAXED, do not mail copy. ONE BOX D REVISION. . . To a form
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What is continuation of coverage cobra?
Continuation of Coverage (COBRA) is a federal law that allows employees to continue receiving health insurance coverage after leaving their job.
Who is required to file continuation of coverage cobra?
Employers with 20 or more employees who offer group health insurance are required to offer COBRA coverage.
How to fill out continuation of coverage cobra?
Employees can typically fill out a COBRA election form provided by their employer or health insurance provider.
What is the purpose of continuation of coverage cobra?
The purpose of COBRA is to provide a temporary extension of health insurance coverage for employees and their families after a qualifying event such as job loss.
What information must be reported on continuation of coverage cobra?
The COBRA election form typically requires information such as the employee's name, qualifying event, and desired coverage period.
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