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Get Il Flex Continuation Coverage Election Notice 2012
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How to fill out the IL Flex Continuation Coverage Election Notice online
The IL Flex Continuation Coverage Election Notice provides essential details regarding your right to continue health care coverage following certain qualifying events. This guide offers clear, step-by-step instructions to help you complete the Election Notice online effectively.
Follow the steps to fill out the Election Notice accurately
- Press the ‘Get Form’ button to obtain the Election Notice and open it in your document editor.
- Enter the date of the notice in the designated field. This date is critical as it establishes the timeline for your continuation coverage election period.
- Identify the qualified beneficiary or beneficiaries by entering their names in the specified section. This identifies who is eligible to elect continuation coverage.
- Select the event that caused the loss of coverage by checking the appropriate box (end of employment, involuntary, or voluntary). You may also add any other event that gives you the right to continuation coverage.
- Indicate which individuals are entitled to elect continuation coverage by checking the relevant boxes. Categories typically include employee or former employee, spouse or former spouse, and dependent children.
- Complete the 'Continuity Coverage Cost' section by entering the current premium amount for the coverage. It is essential to know the financial commitment involved in continuing your health coverage.
- Carefully read any included instructions about additional rights and responsibilities regarding continuation coverage. Make sure you understand any implications of your election.
- Fill out the Election Form by providing details for all qualified beneficiaries, including their name, date of birth, relationship to the employee, and social security number or other identifier.
- Sign and date the form to indicate your election for continuation coverage, and ensure your contact details, including address and telephone number, are included.
- Review the completed form for accuracy and clarity. After confirming all information is correct, you can save your changes, download, print, or share the form as needed.
Complete your IL Flex Continuation Coverage Election Notice online today to ensure your health care coverage continues seamlessly.
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You will likely want to drop COBRA once you become eligible for a different health plan, such as if you get another job. If you stop paying premiums, COBRA coverage will end automatically. A health plan may also terminate a COBRA plan if your former employer drops group health insurance coverage.
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