The North Carolina Election Form for Continuation of Benefits, also known as COBRA, is an essential document that allows eligible individuals in North Carolina to elect to continue their health insurance coverage after experiencing certain qualifying events. This form is specifically designed for individuals who have lost their job or had a reduction in work hours, resulting in the loss of employer-provided health insurance. COBRA (Consolidated Omnibus Budget Reconciliation Act) is a federal law that provides employees, their spouses, and dependents the right to extend their health insurance coverage for a certain period of time. The North Carolina Election Form is used to notify the health plan administrator about the individual's decision to continue their benefits through COBRA. This form ensures that the individual is aware of their rights and options, and it allows them to make an informed decision regarding their healthcare coverage. Keywords: North Carolina, Election Form, Continuation of Benefits, COBRA, qualifying events, health insurance coverage, job loss, reduction in work hours, employers, spouses, dependents, federal law, health plan administrator, rights, options, informed decision, healthcare coverage. There are different types of North Carolina Election Forms for Continuation of Benefits — COBRA, depending on the specific qualifying event that led to the loss of health insurance coverage. Some common types of election forms include: 1. North Carolina Election Form for COBRA due to Job Loss: This form is used when an individual loses their job, either due to termination or layoff, resulting in the loss of employer-provided health insurance. It allows them to elect to continue their health coverage through COBRA. 2. North Carolina Election Form for COBRA due to Reduction in Work Hours: This form is used when an individual's working hours are reduced, causing them to lose their eligibility for employer-provided health insurance. It enables them to choose the COBRA continuation of benefits. 3. North Carolina Election Form for COBRA due to Divorce or Legal Separation: This form is utilized when an individual becomes divorced or legally separated from their spouse, resulting in the loss of health insurance coverage. It grants them the option to elect COBRA and maintain their health benefits. 4. North Carolina Election Form for COBRA due to Death of the Employee: This form is necessary when the primary employee on a health insurance plan passes away, affecting the coverage of their dependents. It allows the dependents to elect COBRA and keep their health benefits intact. These are just a few examples of the different types of North Carolina Election Forms for Continuation of Benefits — COBRA. Each form is customized to address the specific circumstances that led to the loss of health insurance coverage, ensuring that individuals have the opportunity to maintain their healthcare benefits when facing such situations.