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Covered employees may elect COBRA continuation coverage on behalf of their spouses, and parents may elect COBRA continuation coverage on behalf of their children. COBRA continuation coverage is a temporary continuation of coverage.
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).
If the Qualifying Event is death of the covered employee, divorce or legal separation, or loss of dependent status, COBRA coverage is available for 36 months.
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.
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.
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Utah mini-COBRA The employer is responsible for providing the terminated insured written notification of the right to continue group coverage and the payment amounts required to continue coverage.
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
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.

utah mini cobra election form