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APPENDIX COBRA ADMINISTRATIVE SERVICES AND CERTIFICATION OF CREDITABLE COVERAGE Agreements COBRA Administrative Services and Certification of Credible Coverage Agreement (hereinafter Agreement) is

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What is certificate of creditable coverage?

A certificate of creditable coverage is a document provided by health insurance carriers or employers that verifies an individual's prior health coverage.

Who is required to file certificate of creditable coverage?

Health insurance carriers or employers are required to file certificate of creditable coverage.

How to fill out certificate of creditable coverage?

Certificate of creditable coverage must be filled out with details of the individual's prior health coverage, including dates of coverage and type of coverage.

What is the purpose of certificate of creditable coverage?

The purpose of certificate of creditable coverage is to prove that an individual has had continuous health coverage and is eligible for certain benefits or protections under the law.

What information must be reported on certificate of creditable coverage?

Information such as dates of coverage, type of coverage, and the name of the insurance carrier must be reported on the certificate of creditable coverage.

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