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Sample COBRA Election PacketEmployer: CBS SALES DEMO COMPANY Qualifying Event: TERMINATION OF EMPLOYMENT ******** IMPORTANT NOTICE ******** ELECTION AND CERTIFICATION OF ELIGIBILITY FOR COBRA PREMIUM

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What is sample cobra election packet?

A sample COBRA election packet is a set of documents provided to eligible employees and their dependents explaining their rights to continue health coverage after a qualifying event.

Who is required to file sample cobra election packet?

Employers are required to provide the sample COBRA election packet to eligible employees and their dependents.

How to fill out sample cobra election packet?

The sample COBRA election packet should be filled out by the eligible employees or their dependents by selecting the desired health coverage continuation option and returning the forms as specified.

What is the purpose of sample cobra election packet?

The purpose of the sample COBRA election packet is to notify eligible individuals of their rights to continue health coverage under COBRA after a qualifying event such as job loss or reduction in hours.

What information must be reported on sample cobra election packet?

The sample COBRA election packet must include information about the COBRA coverage options, premium amounts, and deadlines for electing continuation coverage.

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