Connecticut Election Form for Continuation of Benefits - COBRA

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Multi-State
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US-500EM
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This Employment & Human Resources form covers the needs of employers of all sizes.
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  • Preview Election Form for Continuation of Benefits - COBRA
  • Preview Election Form for Continuation of Benefits - COBRA
  • Preview Election Form for Continuation of Benefits - COBRA

How to fill out Election Form For Continuation Of Benefits - COBRA?

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FAQ

COBRA permits you and your dependents to continue in your employer's group health plan after your job ends. If your employer has 20 or more employees, you may be eligible for COBRA continuation coverage when you retire, quit, are fired, or work reduced hours.

COBRA continuation coverage generally lasts 18 months, or 36 months for dependents in certain circumstances.

How Long Does COBRA Last After You Quit? You may remain on your former employer's COBRA insurance plan for up to 18 months. Depending on your circumstances you or your qualified dependents may be eligible for up to 36 months of continuing coverage.

The general notice describes general COBRA rights and employee obligations. This notice must be provided to each covered employee and each covered spouse of an employee who becomes covered under the plan. The notice must be provided within the first 90 days of coverage under the group health plan.

Federal law requires that most group health plans (including this Plan) give employees and their families the opportunity to continue their health care coverage through COBRA continuation coverage when there's a qualifying event that would result in a loss of coverage under an employer's plan.

There are several other scenarios that may explain why you received a COBRA continuation notice even if you've been in your current position for a long time: You may be enrolled in a new plan annually and, therefore, receive a notice each year. Your employer may have just begun offering a health insurance plan.

COBRA continuation coverage lets you stay on your employer's group health insurance plan after leaving your job. COBRA stands for the Consolidated Omnibus Budget Reconciliation Act. It's shorthand for the law change that required employers to extend temporary group health insurance to departing employees.

Employees covered under employer groups with 20 or more employees are granted the right to continue coverage subject to Federal COBRA provisions for 18 months.

COBRA the Consolidated Omnibus Budget Reconciliation Act -- requires group health plans to offer continuation coverage to covered employees, former employees, spouses, former spouses, and dependent children when group health coverage would otherwise be lost due to certain events.

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Connecticut Election Form for Continuation of Benefits - COBRA