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- Click ‘Get Form’ to open the can i elect cobra online 2006 form in the editor.
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- Select the type of COBRA continuation coverage you wish to elect: Employee Medical Coverage, Spouse Medical Coverage, or Child(ren) Medical Coverage. Each option has a specified monthly cost that should be noted.
- Sign and date the form at the bottom. This signature confirms your election of COBRA coverage and must match your printed name above.
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