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COBRA CONTINUATION COVERAGE ELECTION FORM FAILURE TO FILE THIS FORM AND PAY THE REQUIRED PREMIUM WITHIN THE GRACE PERIOD WILL RESULT IN TERMINATION OF COVERAGE ON THE FIRST OF THE MONTH FOR WHICH

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What is 3 - cobra- election?

The 3 - COBRA election refers to the process by which eligible individuals can choose to continue their health insurance coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) after losing their job or facing a qualifying event.

Who is required to file 3 - cobra- election?

The employer is required to provide a COBRA election notice to qualified beneficiaries who have experienced a qualifying event, such as job loss, and these beneficiaries must then file the election to continue coverage.

How to fill out 3 - cobra- election?

To fill out a 3 - COBRA election, individuals should complete the COBRA election form provided by their employer, carefully follow the instructions, indicate their choice to elect COBRA continuation coverage, and submit the form within the specified timeframe.

What is the purpose of 3 - cobra- election?

The purpose of the 3 - COBRA election is to allow individuals who lose their health insurance due to certain events the option to continue their coverage for a limited time, ensuring they have access to healthcare.

What information must be reported on 3 - cobra- election?

On the 3 - COBRA election form, individuals must report their personal information, such as name and address, the date of the qualifying event, and their choice regarding the continuation of health coverage.

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