Cobra Notice Sample With Termination Letter
Description
How to fill out COBRA Continuation Coverage Election Notice?
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FAQ
Dear Ms. Moorehead, This letter is to formally let you know that as of September 30th, 2014, your benefits coverage with COBRA will be terminated. As such, you nor any of your dependents will be eligible for dental, health and vision plans under the company's health plan.
This notice is intended to provide a summary of your rights, options, and notification responsibilities under COBRA. Should an actual qualifying event occur in the future and coverage is lost, the CalPERS will provide you (and your covered dependents, if any), with the appropriate COBRA election notice at that time.
A termination of benefits letter should include the following information, ing to Bax: Date of benefits termination. Implications of benefits termination. Available resources and options. Consequences for failure to meet time-sensitive requirements. Point of contact for more information.
The notice must explain the reason coverage has terminated, provide the date of termination and describe any rights the qualified beneficiary may have to elect alternative group or individual coverage, such as a conversion right (29 C.F.R. 2590.606-4(d)).
The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss, ...