Get the free COBRA Health Insurance Election Form - Open Enrollment
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CITYOFCHICOCOBRAHEALTHINSURANCEELECTIONFORM
OPENENROLLMENT
INSTRUCTIONS:
YourelectionformandallhealthinsurancepremiumpaymentsshouldbesentdirectlytotheCitysRetireeinsuranceadministrator:
Via email:cobra×workterra.com,
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What is cobra health insurance election?
COBRA health insurance election is the process through which eligible individuals can choose to continue their health insurance coverage after experiencing a qualifying event that would otherwise result in loss of coverage.
Who is required to file cobra health insurance election?
Employees and their dependents who experience a qualifying event that would result in loss of health insurance coverage are required to file COBRA health insurance election.
How to fill out cobra health insurance election?
To fill out COBRA health insurance election, eligible individuals must complete the necessary forms provided by their employer or health insurance plan administrator and return them within the specified timeframe.
What is the purpose of cobra health insurance election?
The purpose of COBRA health insurance election is to provide eligible individuals with the option to continue their health insurance coverage for a limited period of time after experiencing a qualifying event.
What information must be reported on cobra health insurance election?
COBRA health insurance election forms typically require information such as the individual's personal details, the qualifying event that led to the need for COBRA coverage, and the choice of health insurance plan options.
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