Get the free COBRA OE -10.04.indd - UCLA Health System - hr healthcare ucla
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University of California Human Resources and Benefits P.O. Box 24570 Oakland, California 94623-1570 October 2004 COBRA Continuation Open Enrollment Period Open Enrollment starts November 1 and ends
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What is cobra oe -1004indd?
Cobra oe -1004indd is a specific form used for reporting and administering Continuation of Health Coverage (COBRA) benefits for eligible individuals.
Who is required to file cobra oe -1004indd?
Employers or plan administrators who provide COBRA benefits to eligible individuals are required to file cobra oe -1004indd.
How to fill out cobra oe -1004indd?
Cobra oe -1004indd should be filled out by providing the necessary information about the employer, plan details, eligible individuals, coverage periods, and premium amounts. The form must be accurately completed with all required fields.
What is the purpose of cobra oe -1004indd?
The purpose of cobra oe -1004indd is to ensure compliance with COBRA regulations by providing a means for employers or plan administrators to report and administer COBRA benefits.
What information must be reported on cobra oe -1004indd?
COBRA oe -1004indd requires reporting of information such as the employer's identification number (EIN), plan name and number, coverage dates, qualified beneficiaries, and premium amounts.
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