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Get Kaiser COBRA Form - Filice
Submitting this form. Retain a copy for your records and to use as a temporary ID card if you are a new Kaiser Permanente member. Employer Group Coverage Information Please complete the following information so we will know about your employer s account with us. The employer from which you originally obtained COBRA should be used regardless of your current employer/employment status. Purchaser/Enrollment Unit Number (Your employer can provide this to you.) Employer Employee name (Last/First/.
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3HUPDQHQWH FAQ
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Federal COBRA generally extends health coverage for 18 months. Individuals with certain qualifying events may be eligible for a longer extension (e.g., 29 or 36 months). Cal-COBRA allows individuals to continue their group health coverage for up to 36 months.
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Cal-COBRA is a California Law that lets you keep your group health plan when your job ends or your hours are cut. It may also be available to people who have exhausted their Federal COBRA.
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Federal COBRA is a federal law that lets you keep your group health plan when your job ends or your hours are cut. Federal COBRA requires continuation coverage be offered to covered employees, their spouses, former spouses, and dependent children.
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Kaiser Permanente billed federal COBRA and Cal-COBRA Kaiser Permanente bills members directly for federal COBRA health coverage and any Cal-COBRA mandated coverage. The employer's Cal-COBRA population is individuals who have exhausted all 18 months of federal COBRA and qualify for Cal-COBRA.
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There are three basic requirements that must be met in order for you to be entitled to elect COBRA continuation coverage: Your group health plan must be covered by COBRA; • A qualifying event must occur; and • You must be a qualified beneficiary for that event.
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Usually, consumers have until the later of 60 days after losing eligibility for their employer's group health coverage or 60 days after receiving their COBRA election notice, whichever is later, to elect COBRA continuation coverage. ➢ Consumers have 45 days after election to pay their first month's premium.
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You may be able to keep your job-based health plan through COBRA continuation coverage. COBRA coverage lets you pay to stay on your job-based health insurance for a limited time after your job ends (usually 18 months). You usually pay the full premium yourself, plus a small administrative fee.
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Cal-COBRA Required Notices The California Continuation Benefits Replacement Act of 1997 (Cal-COBRA) requires that certain notices about coverage be provided to insurance carriers and employees at certain times.
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