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COBRA/State Continuation Enrollment/Change Form ACA Compliant Plans Jan. March 2021350 E M P L O Y ES Employer Name:___ Case/Cert Number:___Contact your benefits administrator for eligibility and

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How to fill out cobra continuation coverage questions

01

Obtain the COBRA election notice from your employer or plan administrator.

02

Review the information provided in the COBRA election notice, including the deadlines for electing COBRA coverage.

03

Complete the required forms included with the COBRA election notice, providing accurate information about yourself and any eligible dependents.

04

Submit the completed forms and any required payments to the appropriate party by the deadline specified in the COBRA election notice.

05

Keep a copy of all forms and documentation submitted for your records.

Who needs cobra continuation coverage questions?

01

Individuals who have lost health insurance coverage due to a qualifying event, such as job loss or reduction in work hours, may need to consider COBRA continuation coverage.

02

Spouses and dependent children of individuals who lose health insurance coverage may also be eligible for COBRA continuation coverage.

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What is cobra continuation coverage questions?

COBRA continuation coverage questions refer to the forms and information that individuals must fill out to continue their health insurance coverage after experiencing a qualifying event.

Who is required to file cobra continuation coverage questions?

Employees who are eligible for COBRA continuation coverage are required to fill out the necessary forms to continue their health insurance coverage.

How to fill out cobra continuation coverage questions?

To fill out COBRA continuation coverage questions, individuals must provide personal information, details of the qualifying event, and make any necessary premium payments.

What is the purpose of cobra continuation coverage questions?

The purpose of COBRA continuation coverage questions is to ensure that individuals have access to continued health insurance coverage after experiencing a qualifying event like job loss or reduction in work hours.

What information must be reported on cobra continuation coverage questions?

COBRA continuation coverage questions require individuals to report personal information, details of the qualifying event, and make any necessary premium payments to continue their health insurance coverage.

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