Aviso de elección de continuación de cobertura de COBRA - COBRA Continuation Coverage Election Notice

State:
Multi-State
Control #:
US-323EM
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Word
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Este aviso contiene información importante sobre el derecho de una persona a continuar con la cobertura de atención médica bajo COBRA. Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.
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  • Preview Aviso de elección de continuación de cobertura de COBRA
  • Preview Aviso de elección de continuación de cobertura de COBRA
  • Preview Aviso de elección de continuación de cobertura de COBRA
  • Preview Aviso de elección de continuación de cobertura de COBRA
  • Preview Aviso de elección de continuación de cobertura de COBRA
  • Preview Aviso de elección de continuación de cobertura de COBRA
  • Preview Aviso de elección de continuación de cobertura de COBRA
  • Preview Aviso de elección de continuación de cobertura de COBRA
  • Preview Aviso de elección de continuación de cobertura de COBRA
  • Preview Aviso de elección de continuación de cobertura de COBRA
  • COBRA Continuation Coverage: A federal provision allowing for the temporary extension of group health coverage that would otherwise be terminated.
  • Election Notice: A document that must be sent to a qualified beneficiary explaining their rights to elect COBRA continuation coverage within 60 days following a qualifying event.
  • Qualified Beneficiary: An individual covered under a group health plan on the day before a qualifying event who is an employee, the employee's spouse, or the employee's dependent child.
  • Qualifying Event: An event that causes a covered employee, or a qualified beneficiary, to lose their health insurance coverage, including job loss, reduction in hours, or other life events such as divorce or death.
  • Group Health Plan: A health plan offered by an employer or employee organization that provides health care to employees and their families.
  1. Understand Your Notification: Ensure you receive the election notice post a qualifying event and read it thoroughly.
  2. Evaluate Continuation Coverage: Consider your health insurance needs and how the continuation of your group health plan could benefit you.
  3. Decide to Elect COBRA Coverage: Choose whether to continue with the COBRA coverage. Remember, the election period typically lasts for 60 days from the date of the qualifying event or the date the notice is provided.
  4. Complete Necessary Forms: Fill out and return the election form to the plan administrator by the deadline stated in the notice.
  5. Make Payment: Be aware of the initial premium payment deadline to prevent loss of coverage.
  • Lack of Coverage: Failing to elect COBRA coverage could leave you without health insurance, potentially leading to high medical costs due to unexpected illness or accidents.
  • Condition Exclusions: Delay in obtaining alternative coverage may result in pre-existing condition exclusions.
  • Financial Implications: Absence of health plan could mean significant personal financial liability in the face of health issues.
  • What is the cost of COBRA continuation coverage? COBRA coverage typically costs 102% of the plan cost, which includes an administration fee. Generally, it is more expensive than coverage for active employees.
  • Can I switch to another health plan under COBRA? No, when electing COBRA, you must continue with the same level of health benefits that were available before the qualifying event.
  • How long can I maintain COBRA continuation coverage? COBRA continuation coverage can last up to 18 months after the qualifying event, which can be extended to 36 months under certain circumstances.

How to fill out Aviso De Elección De Continuación De Cobertura De COBRA?

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FAQ

Con COBRA pagas el 100% de los gastos del plan de salud. Esto incluye los gastos que tu empleador ayudaba a pagar. Estos gastos extras hacen que esta cobertura sea mas cara, aunque continAºes con el mismo plan de salud.

Winston Santos, informo este martes que todos los trabajadores suspendidos y sus dependientes directos y adicionales, conservarA¡n su afiliaciA³n al Seguro Familiar de Salud (SFS), por un perA­odo de 60 dA­as, dicha medida estA¡ contenida en la ResoluciA³n No.

Llame al administrador de los beneficios de su empleador para hacer preguntas sobre sus opciones especificas de COBRA. Si tiene preguntas acerca de Medicare y COBRA, llame al Centro de CoordinaciA³n y RecuperaciA³n de Beneficios (BCRC, por sus siglas en inglA©s) al 1-855-798-2627 (TTY: 1-855-797-2627).

La Ley de Reconciliacion Presupuestaria A“mnibus Consolidada (COBRA por sus siglas en inglA©s), es una ley federal que permite a los empleados y sus familiares inmediatos (dependientes) continuar temporalmente su cobertura de seguro mA©dico provisto por trabajo.

La ley COBRA provee a las personas en ciertas circunstancias la opcion de conservar el seguro mA©dico obtenido con un empleador por una extensiA³n de tiempo adicional tras haber dejado de trabajar en caso de no poder obtener cobertura a travA©s del empleo de sus cA³nyuges ni en el mercado de seguros mA©dicos.

La ley COBRA provee a las personas en ciertas circunstancias la opcion de conservar el seguro mA©dico obtenido con un empleador por una extensiA³n de tiempo adicional tras haber dejado de trabajar en caso de no poder obtener cobertura a travA©s del empleo de sus cA³nyuges ni en el mercado de seguros mA©dicos.

Winston Santos, informo este martes que todos los trabajadores suspendidos y sus dependientes directos y adicionales, conservarA¡n su afiliaciA³n al Seguro Familiar de Salud (SFS), por un perA­odo de 60 dA­as, dicha medida estA¡ contenida en la ResoluciA³n No.

El plan. COBRA establece reglas acerca de como y cuA¡ndo deberA¡ ofrecerse y proporcionarse continuaciA³n de cobertura, cA³mo pueden elegir los empleados y sus familias la continuaciA³n de cobertura y cuA¡les circunstancias justifican cancelar la continuaciA³n de cobertura.

La Ley de Reconciliacion Presupuestaria A“mnibus Consolidada (COBRA por sus siglas en inglA©s), es una ley federal que permite a los empleados y sus familiares inmediatos (dependientes) continuar temporalmente su cobertura de seguro mA©dico provisto por trabajo.

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Aviso de elección de continuación de cobertura de COBRA