Cobra Notice And Election Form
Description
How to fill out Cobra Notice And Election Form?
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FAQ
COBRA law requires that notices must be furnished to covered individuals. The preferred method of delivery is First Class Mail.
To cancel your COBRA plan you will need to notify your previous employer or the plan administrator in writing, requesting to terminate the insurance. After you stop your COBRA insurance, your former employer should send you a letter affirming termination of that health insurance.
A COBRA letter is drafted by the plan administrator with a copy mailed to each qualified beneficiary before the coverage is terminated. The COBRA termination letter format must include the reason why the coverageis being terminated, the rights of the beneficiaries, and the specific date the coverage will end.
The COBRA election notice informs the qualified beneficiary of their rights under COBRA law and the form allows the qualified beneficiary to elect COBRA coverage to continue enrollment in benefits.
The election notice should include the following information: The name of the plan and the name, address and telephone number of the plan's COBRA administrator. Identification of the qualifying event. Identification of the qualified beneficiaries (by name or by status).