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Note: this questionnaire has been combined with the Group size for Oregon Continuation / COBRA form, which is added on page 3. Group size questionnaire Medicare coordination of benefits Please return
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How to fill out state continuation what does
How to fill out state continuation what does
01
Obtain the state continuation form from your employer or benefits administrator.
02
Fill out your personal information accurately including your name, address, and social security number.
03
Indicate the reason for needing state continuation, whether it be due to termination, reduction in hours, or another qualifying event.
04
Provide information about your previous healthcare coverage such as the name of the insurance plan and the date coverage ended.
05
Sign and date the form before submitting it to the appropriate party within the specified timeframe.
Who needs state continuation what does?
01
Individuals who have lost their employer-sponsored healthcare coverage due to job loss, reduction in hours, or another qualifying event may need state continuation to maintain their coverage for a limited period of time.
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What is state continuation?
State continuation refers to the laws that allow employees to continue their group health insurance coverage after experiencing a qualifying event, such as job loss or reduction in hours.
Who is required to file state continuation?
Employers with group health plans are typically required to file state continuation for eligible employees and their dependents after a qualifying event occurs.
How to fill out state continuation?
To fill out a state continuation, you generally need to complete the necessary forms provided by your health insurance provider or your employer, providing relevant information about the qualifying event and the individuals who will continue coverage.
What is the purpose of state continuation?
The purpose of state continuation is to provide a safety net for employees and their families, ensuring they can maintain health insurance coverage during transitional periods after job loss or changes in employment status.
What information must be reported on state continuation?
The information that must be reported typically includes the individual's details, the reason for continuation, the effective date of coverage, and any premium payment information.
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