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Kaiser cal cobra enrollment form

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4.3 out of 5

146 votes

The document is a COBRA Enrollment Form for Kaiser Permanente, which requires individuals to provide personal and employer information to enroll in COBRA continuation coverage. It outlines the necessary details for enrollment, including reasons for COBRA enrollment, subscriber and family information, and guidelines for completing the form. The form emphasizes the importance of reading accompanying documents and provides instructions on how to submit the form without payment.

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Versions	Form popularity	Fillable & printable
2011	4.8 Satisfied (290 Votes)
2002	4.3 Satisfied (146 Votes)

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