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COBRA Implementation Forms Packet FORMS SUBMISSION CHECKLIST - All forms must be completed and returned to Blue Cross and Blue Shield of Georgia Client Profile (Required) Carrier and Plan Information.

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The Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA) amended the Public Health Service Act, the Internal Revenue Code and the Employee Retirement Income Security Act (ERISA) to require employers with 20 or more employees to provide temporary continuation of group health coverage in certain situations ...

How to get COBRA coverage. When a qualifying life event happens, you or your employer will notify the health plan. The plan will send an election notice that you will have 60 days to respond to. If you elect to take COBRA coverage, your employer may pay a portion of or the full amount of your insurance premium.

Canceling COBRA coverage Enter a support request in the online message center. Send a letter to WageWorks requesting termination of your COBRA coverage (note that certain cancellation requests are subject to the employer's applicable group health plan provisions).

COBRA stands for Consolidated Omnibus Budget Reconciliation Act. It is related to the health insurance program that brings certain privileges for employees, so that they can continue benefits of their health insurance after losing jobs or/and, at time of reduction in their work hours.

COBRA (Consolidated Omnibus Reconciliation Act of 1986) is the federal law that allows people to keep health insurance after leaving a job. If you or a family member recently left a job with group health insurance, you may be able to continue this coverage by paying the full cost of the insurance.

As a participant whose coverage terminated due to a qualifying event, you have the right to elect continuation of your Covered California group health coverage. through COBRA. To elect COBRA continuation coverage, complete this Election Form and return it to your former employer.

To be eligible for COBRA coverage, you must have been enrolled in your employer's health plan when you worked and the health plan must continue to be in effect for active employees.

You should get a notice in the mail about your COBRA and Cal-COBRA rights. You have 60 days after being notified to sign up. If you are eligible for Federal COBRA and did not get a notice, contact your employer. If you are eligible for Cal-COBRA and did not get a notice, contact your health plan.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232