Washington COBRA Continuation Coverage Election Form

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

This form allows an individual to elect COBRA continuation coverage.

The Washington COBRA Continuation Coverage Election Form is a crucial document that provides individuals with the option to extend their health insurance coverage after experiencing a qualifying event that would terminate their previous coverage. This form is specifically designed to meet the regulatory requirements of the Consolidated Omnibus Budget Reconciliation Act (COBRA) in the state of Washington. By completing the Washington COBRA Continuation Coverage Election Form, eligible individuals can elect to continue their health insurance coverage for a specified period, ensuring that they and their dependents have access to vital medical benefits during this transition period. It is important to note that COBRA continuation coverage is typically more expensive than traditional health insurance plans as the individual may be responsible for the entire premium, including the portion that their employer previously subsidized. There are different types of the Washington COBRA Continuation Coverage Election Form that vary based on the qualifying event triggering the need for continuation coverage. Some common types include: 1. Termination of Employment: If an individual loses their job for reasons other than gross misconduct, they may be eligible for COBRA continuation coverage. The corresponding election form should be used in such cases. 2. Reduction of Work Hours: Individuals who experience a reduction in work hours that results in the loss of employer-sponsored health insurance benefits could qualify for COBRA continuation coverage. In these instances, a specific election form must be completed. 3. Divorce or Legal Separation: In situations where an individual loses health insurance coverage due to a divorce or legal separation from the covered employee, the COBRA continuation coverage election form for this qualifying event should be used. 4. Dependent Age Limit: If a dependent child no longer qualifies for coverage under the employer-sponsored health insurance plan due to reaching the plan's age limit, they may be eligible for COBRA continuation coverage. The associated election form is required to be completed in such scenarios. These are just a few examples of the various types of Washington COBRA Continuation Coverage Election Forms that pertain to different qualifying events. It is essential to carefully select the correct form corresponding to the specific situation to ensure accurate and timely continuation of health insurance coverage.

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FAQ

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.

Key Takeaways. COBRA provides a good option for keeping your employer-sponsored health plan for a while after you leave your job. Although, the cost can be high. Make an informed choice by looking at all your options during the 60-day enrollment period, and don't focus on the premium alone.

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.

Eligibility. You're eligible to continue your health coverage for up to 18 months if either of these occur: Your employment ends (unless it's due to gross misconduct)

Cal-COBRA is a California Law that lets you keep your group health plan when your job ends or your hours are cut. It may also be available to people who have exhausted their Federal COBRA.

Eligibility. You're eligible to continue your health coverage for up to 18 months if either of these occur: Your employment ends (unless it's due to gross misconduct)

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.

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.

Q11: How long does COBRA coverage last? COBRA requires that continuation coverage extend from the date of the qualifying event for a limited period of 18 or 36 months.

More info

1015 Half Street, SE, 9th Floor, Washington, D.C. 20003 Telephone (202) 442-9700. Notice of ARP Continuation Coverage Election Notice IMPORTANT. Item 9. If you are covered by other health insurance, either in your name or under a family member's policy, check yes and complete ...If you have questions about COBRA or COBRA premium assistance, visit the U.S. Department of Labor at DOL.gov or call 1-866-444-3272 to speak to a benefits ... To use this model extended election notice properly, the Plan Administrator must fill in the blanks with the appropriate plan information. The Department ... Learn more about COBRA qualifying events and continuing your coverage byIf you experience a qualifying event, you will receive a COBRA election form. You can find more information in the SEBB Initial Notice of COBRA and Continuation. Coverage Rights on the HCA website at hca.wa.gov/. To elect COBRA continuation coverage, follow the instructions on the next page to complete the enclosed Election Form and submit it to us. You need to enable JavaScript to run this app. You would fill out the application -- SEBB Continuation Coverage Elections Change form (link below) -- by mail to SEBB with your first monthly premium of ... Use this form to indicate which COBRA coverage election(s) you want and for whom you want coverage. Please use this form only if you're eligible for COBRA and ...

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Washington COBRA Continuation Coverage Election Form