Cobra Election Rules

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

The COBRA Continuation Coverage Election Form is designed for users to elect COBRA continuation coverage within the designated timeframe following a qualifying event. Under federal law, individuals must submit the Election Form within 60 days from the date of the notice to retain their right to elect COBRA coverage. It is crucial to ensure the form is completed accurately and returned via mail or other specified methods by the due date. If an individual changes their mind about rejecting coverage, they can submit the completed form before the due date to activate their insurance. The form collects essential information such as the name, date of birth, relationship to the employee, and social security number for each individual covered under the plan. It also provides a section for the signatory's name, relationship to the individuals listed, address, and contact number. This form serves as a vital tool for attorneys, partners, owners, associates, paralegals, and legal assistants, ensuring compliance with COBRA regulations and protecting clients’ rights to healthcare coverage during transitional periods.
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How to fill out COBRA Continuation Coverage Election Form?

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FAQ

Qualified beneficiaries must be given an election period of at least 60 days during which each qualified beneficiary may choose whether to elect COBRA coverage. This period is measured from the later of the date of the qualifying event or the date the COBRA election notice is provided.

COBRA generally requires that group health plans sponsored by employers with 20 or more employees in the prior year offer employees and their families the opportunity for a temporary extension of health coverage (called continuation coverage) in certain instances where coverage under the plan would otherwise end.

Election Period: The 60 day period following the date COBRA notice was provided to elect COBRA coverage. QB (Qualified Beneficiary) must elect COBRA during the Election Period. Initial Grace Period: The 45 day period following the date QB elected COBRA coverage.

If you are entitled to elect COBRA coverage, you must be given an election period of at least 60 days (starting on the later of the date you are furnished the election notice or the date you would lose coverage) to choose whether or not to elect continuation coverage.

If your COBRA payment is not made in a timely manner, or within the 30-day grace period then you are risking termination of your COBRA rights and coverage.

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Cobra Election Rules