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GROUP DENTAL CONTINUATION COVERAGE UNDER COBRA ELECTION NOTICE AND APPLICATION You are receiving this notice because the Group Insurance Commission (GIG) has been informed that your current GIG coverage
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To fill out the www.mass.gov/doc/cobra-dentalvision-application-group dental vision continuation coverage form, follow these steps:
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Access the website www.mass.gov/doc/cobra-dentalvision-application-group.
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Who needs wwwmassgovdoccobra-dentalvision-applicationgroup dentalvision continuation coverage?

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Anyone who is currently a member of a dental vision group plan through www.mass.gov and is in need of continuation coverage should apply for www.mass.gov/doc/cobra-dentalvision-application-group dental vision continuation coverage.
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The dentalvision continuation coverage allows individuals to continue their dental and vision insurance after losing coverage due to a qualifying event.
Employees and their dependents who lose group dental and vision coverage due to a qualifying event are required to file for continuation coverage.
Individuals can fill out the application for dentalvision continuation coverage by providing their personal information, details of the qualifying event, and payment for the coverage.
The purpose of dentalvision continuation coverage is to provide individuals with the option to maintain their dental and vision insurance after losing group coverage.
Individuals must report their personal information, details of the qualifying event, and make sure all required documents are submitted for dentalvision continuation coverage.
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