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Dental Enrollment Form EMPLOYER ONLY: DO NOT COMPLETE. ? New hire ? Family Status Change Group Number Employee ID Number CD0739 ? COBRA/IL Continuation 0 0 0 Coverage Code Begin Date: MM DD BY MM
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What is cobrail continuation?
Cobrail continuation is a form that allows individuals or entities to continue the registration of a business or entity with the relevant authorities.
Who is required to file cobrail continuation?
Any individual or entity that wishes to continue the registration of their business or entity is required to file cobrail continuation.
How to fill out cobrail continuation?
To fill out cobrail continuation, individuals or entities must provide relevant information about their business or entity, such as contact details, ownership information, and any changes to the business.
What is the purpose of cobrail continuation?
The purpose of cobrail continuation is to ensure that businesses or entities remain registered with the appropriate authorities and maintain compliance with regulations.
What information must be reported on cobrail continuation?
Information such as contact details, ownership information, and any changes to the business must be reported on cobrail continuation.
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