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P.O. Box 2070, Virginia Beach, VA 23450 Toll Free (800) 4373539 www.flexadmin.comCOBRA Initial Rights Notification Form TO BE COMPLETED BY EMPLOYER How to File:By email: COBRAdivision@flexadmin.com By

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Box 2070 Virginia Beach refers to a specific box or section on a form or document used for reporting purposes in Virginia Beach.

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