Mkt 365 2025

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128 votes

The document is a COBRA Continuation Coverage Election Form, which provides instructions for individuals to elect COBRA continuation coverage for their group health plans. It outlines the 60-day decision period, the process for submitting the form, and the consequences of failing to do so. The form requires personal information and selection of coverage type, allowing individuals to either elect family or single coverage or decline it.

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Versions	Form popularity	Fillable & printable
2009	4.8 Satisfied (128 Votes)

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