Este formulario permite que una persona elija la continuación de la cobertura de 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.
Yes, your COBRA coverage should mirror what you had before. It’s like sticking with your favorite pair of shoes—you just get to wear them a little longer.
Yes, you can cancel your COBRA coverage anytime. Just remember to let your provider know—think of it like breaking up; you want to do it the right way to avoid misunderstandings.
If you miss the deadline, you might be out of luck and won’t get the chance to elect coverage later. It’s important to act promptly, like catching the bus before it leaves the station.
You typically receive a notice from your employer about your COBRA rights. To apply, just follow the instructions in that notice. It’s like following a recipe—stick to the steps, and you’ll be fine.
You can keep COBRA coverage for up to 18 months in most cases. It’s like getting an extended vacation from worrying about your health insurance.
You’re eligible if you worked for a company with 20 or more employees and lost your job or had a qualifying event. Basically, if you were on the health plan before, you might be able to stick around for a bit longer.
COBRA continuation coverage lets you keep your health insurance when you lose your job or experience a qualifying life event. It’s like holding onto your safety net when the ground shakes.
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Jacksonville Florida Formulario de elección de continuación de cobertura COBRA