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Continuation of Health Care and Dental Coverage Notice Effective July 1, 2020, You are receiving this Notice because your coverage under the CAB Health and/or Dental Plan(s) will end due to one of

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How to fill out continuation of health care

01

Obtain the continuation of health care form from your previous health care provider.

02

Fill out your personal information accurately, including your name, contact information, and insurance details.

03

Specify the reason for needing continuation of health care, such as ongoing treatment or transitioning to a new provider.

04

Provide any relevant medical history or documentation to support your request.

05

Submit the completed form to your new health care provider or insurance company for approval.

Who needs continuation of health care?

01

Individuals who are transitioning between health care providers and need uninterrupted medical treatment.

02

Patients with chronic conditions who require ongoing care and prescription medications.

03

People who are relocating to a new area and need to transfer their medical records and care to a new provider.

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What is continuation of health care?

Continuation of health care refers to the process of extending health care coverage beyond the original termination date.

Who is required to file continuation of health care?

Employees or dependents who are eligible for continued health care coverage under COBRA or other state continuation laws are required to file continuation of health care.

How to fill out continuation of health care?

Continuation of health care forms can typically be filled out online through the employer's benefits portal or by contacting the HR department for assistance.

What is the purpose of continuation of health care?

The purpose of continuation of health care is to provide individuals with the option to continue their health care coverage temporarily after experiencing a qualifying event that results in loss of coverage.

What information must be reported on continuation of health care?

The continuation of health care form typically requires personal information, details of the qualifying event, coverage election, and payment information.

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