Cobra Election Form California
Description
How to fill out COBRA Continuation Coverage Election Form?
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FAQ
In order to qualify as an eligible individual you must meet the following conditions: You have 18 or more months of prior creditable coverage. Your most recent health care coverage must be under an employer sponsored group health plan, which includes COBRA or Cal-COBRA continuation coverage.
To be eligible for COBRA, your group policy must be in force with 20 or more employees covered on more than 50 percent of its typical business days in the previous calendar year.
90-Day Notice Period The HR office must provide the Initial General COBRA Notice to covered individuals within 90 days of the coverage effective date. An exception to the 90 day rule is when a qualifying event occurs before the initial notice is provided to the employee.
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. If you miss the deadline, you may lose the chance to sign up for Federal COBRA or Cal-COBRA.
The COBRA statute requires employers to offer continuation of group coverage including health, dental, vision, and FlexElect Medical Reimbursement Accounts to covered employees, spouses, domestic partners*, and eligible dependent children who lose group coverage due to a qualifying event.