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Cobra letter to terminated employee

Cobra notice 2025

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The document is a COBRA Continuation Coverage Election Notice, which informs individuals about their right to continue health care coverage under a group health plan after a qualifying event such as job loss or reduction in hours. It outlines the process for electing COBRA coverage, the duration of coverage (up to 18 or 36 months depending on the event), payment details, and important rights related to continuation coverage. The notice emphasizes the need for timely election and payment to maintain coverage.

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Click ‘Get Form’ to open the COBRA notice in the editor.
Begin by entering the date of the notice at the top of the form. This is crucial for tracking your election period.
Fill in your name and select the appropriate reason for coverage loss from the provided options, such as end of employment or reduction in hours.
Identify all qualified beneficiaries by entering their names, dates of birth, relationships to you, and selecting their coverage options.
Sign and print your name at the bottom of the Election Form. Ensure that you include your contact information for any follow-up.
Review all entered information for accuracy before submitting. You can easily modify any section using our platform's editing tools.

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How to get a copy of a COBRA letter?

If you are unable to obtain a new copy from your former employer, you can also contact the COBRA administrator for your health plan. They should have a record of your enrollment and may be able to provide you with a new copy of the paperwork.

What does COBRA notice mean?

COBRA continuation coverage notices are documents that explain employees rights under the Consolidated Omnibus Budget Reconciliation Act of 1985. These documents generally contain a variety of information, including the following: The name of the health insurance plan.

When should COBRA notice be sent after termination?

Separate requirements apply to the employer and the group health plan administrator. An employer that is subject to COBRA requirements is required to notify its group health plan administrator within 30 days after an employees employment is terminated, or employment hours are reduced.

How do I get a COBRA termination letter?

When its time to stop or cancel your coverage, you would need to make a request from the plan administrator to receive a letter of notice of COBRA termination. Typically, the COBRA Administrator is in the HR department or is a third-party administrator.

What is the penalty for COBRA notice?

Failing to adhere to COBRA rules can result in costly penalties. The Department of Labor may impose fines of $110 per day per qualified beneficiary for non-compliance with notice requirements, and the IRS can levy excise taxes for violations.

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Can COBRA letters be emailed?

Only certain letters can be sent via email due to Cobra Federal Regulations. For more information, see What Cobra/Retiree notices are available to be sent via email to member? Go Green language will appear on several notices to notify members that they can sign up for paperless communication.

What happens if an employer does not send a COBRA notice?

Employers who fail to comply with the COBRA requirements can be required to pay a steep price. Failure to provide the COBRA election notice within this time period can subject employers to a penalty of up to $110 per day, as well as the cost of medical expenses incurred by the qualified beneficiary.

Cobra notice 2025

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