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.
Missing the deadline is like missing the bus; you'll have to wait for your next ride. Unfortunately, if you miss the 60-day window, you lose your right to elect COBRA coverage.
Yes! You can add your dependents to your COBRA coverage, but they must be on your plan before your qualifying event. Just make sure to include them in your election form.
If you decide to go for it, you've got to fill out the election form included in your COBRA notice and send it back to your employer or the plan administrator within 60 days.
Your employer should provide you with a COBRA election notice after you leave. This notice will explain your rights and eligibility, so be sure to read it carefully!
You might be eligible if you worked for a company with 20 or more employees and lost your health insurance due to a qualifying event, like job loss or reduced hours.
COBRA stands for the Consolidated Omnibus Budget Reconciliation Act. It allows you to keep your health insurance after leaving a job for up to 18 months, as long as you were part of a group health plan.
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Mesa Arizona Aviso de elección de continuación de cobertura de COBRA