Get the free RFA-21: Model Continuation (CA Dept of Education)
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Credit for Prior Learning Application Form Complete this form and return to the Adult Education Office at the address below. NamePhoneAddressStudent City/State/Zip Program of Study Briefly explain
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How to fill out rfa-21 model continuation ca
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What is rfa-21 model continuation ca?
RFA-21 Model Continuation CA is a form used for reporting continuation coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA).
Who is required to file rfa-21 model continuation ca?
Employers who offer COBRA continuation coverage to their employees are required to file RFA-21 Model Continuation CA.
How to fill out rfa-21 model continuation ca?
RFA-21 Model Continuation CA can be filled out online or by mail, providing information about the continuation coverage offered.
What is the purpose of rfa-21 model continuation ca?
The purpose of RFA-21 Model Continuation CA is to report continuation coverage provided to employees under COBRA.
What information must be reported on rfa-21 model continuation ca?
Information such as employee details, coverage dates, premium amounts, and other COBRA-related information must be reported on RFA-21 Model Continuation CA.
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