Cobra Continuation Coverage Election Form - A written explanation of the procedures for electing cobra, the date by which the election must be made, how to notify the plan administrator of the election, the date cobra coverage will begin, Web learn your rights and responsibilities under cobra, a federal law that allows you to temporarily keep your group health coverage when you lose it due to certain events. A notice of cobra rights generally includes the following information: What does a cobra election notice include? Cobra notice and election procedures; Find out how to elect, pay for, and coordinate cobra continuation coverage with other benefits. Who is entitled to cobra continuation coverage? Under pennsylvania law, you have thirty (30) days after the date of this notice to decide whether you want to elect continuation coverage. Summary of qualifying events, qualified beneficiaries, and maximum periods of continuation coverage; Web what is cobra continuation coverage?
A notice of cobra rights generally includes the following information: Who is entitled to cobra continuation coverage? Under pennsylvania law, you have thirty (30) days after the date of this notice to decide whether you want to elect continuation coverage. What does a cobra election notice include? Web what is cobra continuation coverage? Find out how to elect, pay for, and coordinate cobra continuation coverage with other benefits. Summary of qualifying events, qualified beneficiaries, and maximum periods of continuation coverage; A written explanation of the procedures for electing cobra, the date by which the election must be made, how to notify the plan administrator of the election, the date cobra coverage will begin, Web learn your rights and responsibilities under cobra, a federal law that allows you to temporarily keep your group health coverage when you lose it due to certain events. Web cobra model election notice. Cobra notice and election procedures; Department of labor (dol) cobra model election notice under the regulations section of the dol's cobra continuation coverage webpage.