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01. Edit your cobra loophole 60 days online
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02. Sign it in a few clicks
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03. Share your form with others
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How to use or fill out cobra forms with our platform
- Click ‘Get Form’ to open the COBRA Continuation Coverage Election Form in the editor.
- Begin by entering your name, date of birth, and relationship to the employee in the designated fields.
- Provide your Social Security Number (or other identifier) in the appropriate section.
- Select your coverage option from the available choices listed on the form.
- If you are electing coverage for additional individuals, repeat steps 2-4 for each person, ensuring all details are accurate.
- Sign the form at the bottom, print your name, and indicate your relationship to those listed above.
- Finally, enter your address and telephone number before submitting the completed form as instructed.
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