Cobra letter template: Fill out & sign online

Here's how it works

01. Edit your cobra letter template online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send cobra letter example via email, link, or fax. You can also download it, export it or print it out.

How to modify Cobra letter in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on documents with our extensive and user-friendly PDF editor is easy. Follow the instructions below to fill out Cobra letter online easily and quickly:

Sign in to your account. Log in with your credentials or create a free account to test the service before choosing the subscription.
Import a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Cobra letter. Quickly add and highlight text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or delete pages from your paperwork.
Get the Cobra letter accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with other participants via a Shareable link or as an email attachment.

Benefit from DocHub, one of the most easy-to-use editors to quickly handle your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

Why did I get a COBRA letter in the mail?

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 is a COBRA letter?

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.

Why would I receive a COBRA 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.

sample cobra letter

Cobra letter template COBRA letter to terminated employee Cobra letter pdf Received COBRA letter but still employed COBRA enrollment COBRA election notice COBRA notice requirements after termination COBRA insurance