Cobra Coverage Application For Medicare Part B

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State:
Multi-State
Control #:
US-322EM
Format:
Word; 
Rich Text
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Description

The COBRA Continuation Coverage Election Form is designed to facilitate the application for COBRA coverage specific to Medicare Part B. This form allows individuals to elect continuation of their healthcare coverage under the employer-sponsored health plan after a qualifying event, ensuring they do not lose their benefits. Key features of the form include sections for personal information, relationship to the employee, and the specific coverage options being elected. Filling out the form requires precise information, including names, dates of birth, Social Security numbers, and an indication of the selected coverage option. It must be mailed or submitted as per specified guidelines, ensuring it is done within 60 days from the notice you received. Missing the due date will forfeit the right to elect coverage, although a change of mind is possible if the form is resubmitted before the deadline. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who assist clients in navigating health insurance matters during transitions. It aids in maintaining coverage and understanding rights under federal law, providing critical support for those managing healthcare logistics for themselves or clients.
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How to fill out COBRA Continuation Coverage Election Form?

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FAQ

In short, if you have COBRA and then become eligible for Medicare, enrolling in Medicare on a timely basis is paramount. Here are some key things about enrollment to keep in mind: You need to enroll in Medicare Part B once you're eligible.

If you have COBRA before signing up for Medicare, your COBRA will probably end once you sign up. You have 8 months to sign up for Part B without a penalty, whether or not you choose COBRA. If you miss this period, you'll have to wait until January 1 - March 31 to sign up, and your coverage will start July 1.

You can apply online or you can mail your completed CMS 40B, Application for Enrollment in Medicare - Part B (Medical Insurance) to your local Social Security office.

If you have Medicare Part A or Part B when you become eligible for COBRA, you must be allowed to enroll in COBRA. Medicare is your primary insurance, and COBRA is secondary. You should keep Medicare because it is responsible for paying the majority of your health care costs.

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Cobra Coverage Application For Medicare Part B