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Ask your former employer where you should send this form. Complete all fields or you may have a delay in your enrollment. Complete and sign this enrollment form. The subscriber employee must sign the form or in the case of spouse own individual election such individual must sign the form. With respect to an individual under the age of 18 the parent or legal guardian must sign the form. Include information on all dependents to be covered. 3. The subscriber employee on the group coverage account ...

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Should COBRA letters be sent certified?

Employers should send notices by first-class mail, obtain a certificate of mailing from the post office, and keep a log of letters sent. Certified mailing should be avoided, as a returned receipt with no delivery acceptance signature proves the participant did not receive the required notice.

What does a COBRA Election Notice look like?

The election notice should include the following information: The name of the plan and the name, address and telephone number of the plan's COBRA administrator. Identification of the qualifying event. Identification of the qualified beneficiaries (by name or by status).

How do I set up a COBRA account?

From the Member Login page, click the "COBRA Login" button and you will be directed to the COBRA portal page. Click on the New User Registration button. Enter the registration code from your COBRA enrollment packet. This code can be found on the last page of the packet.

Why would I get a certified letter from COBRA?

The purpose of this letter is to inform you of your rights and responsibilities as a plan participant. Qualifying Event: At the end of your employment or because of reduction of hours (not maintain full-time status) you will receive this letter.

How long keep COBRA notices?

Keep Your Health Coverage (COBRA) Small Employer (2 to 19 employees)Large Employer (20 or more employees)Cal-COBRA \u2014 up to 36 monthsFederal COBRA \u2014 18 or 36 months. For more information visit the Department of Labor website . Cal-COBRA \u2014 If Federal COBRA was 18 months, 18 more months of Cal-COBRA is available

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How do I get started with COBRA?

Enroll in COBRA by completing your enrollment online or sign up by paper application and mail it back to the employer. You will have 60 days to elect COBRA continuation. Please note: COBRA is a federal law. Not an insurance company or a particular plan.

How can I get a free COBRA?

Qualified unemployed individuals can qualify for free COBRA health insurance coverage under the latest relief bill. Unemployed Americans who lost their jobs in the last 18 months may qualify for free health insurance coverage through the Consolidated Omnibus Budget Reconciliation Act, commonly known as COBRA.

What is the COBRA initial notice?

This notice is intended to provide a summary of your rights, options, and notification responsibilities under COBRA. Should an actual qualifying event occur in the future and coverage is lost, the CalPERS will provide you (and your covered dependents, if any), with the appropriate COBRA election notice at that time.

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Should COBRA letters be sent certified?

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