Home
Forms Library
CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca

Get the up-to-date CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca 2025 now

CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca Preview on Page 1

Show details

4.3 out of 5

72 votes

The document provides instructions and a form for enrolling in COBRA (Consolidated Omnibus Budget Reconciliation Act) health coverage for public employees and their dependents after qualifying events such as employment separation, divorce, or dependent status changes. It includes sections for personal information, event details, health plan information, and requires the enrollee's signature to confirm understanding of premium payment responsibilities.

Here's how it works

01. Edit your form 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 it via email, link, or fax. You can also download it, export it or print it out.

The best way to change CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your documentation requires only a few simple clicks. Follow these quick steps to change the PDF CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca online for free:

Sign up and log in to your account. Sign in to the editor with your credentials or click on Create free account to examine the tool’s capabilities.
Add the CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca for editing. Click on the New Document option above, then drag and drop the file to the upload area, import it from the cloud, or via a link.
Modify your template. Make any changes needed: add text and pictures to your CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca, highlight information that matters, remove sections of content and substitute them with new ones, and insert symbols, checkmarks, and fields for filling out.
Complete redacting the form. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super intuitive and efficient. Try it out now!

See more CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca versions

We've got more versions of the CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca form. Select the right CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (45 Votes)
2018	4.3 Satisfied (178 Votes)
2013	4.3 Satisfied (72 Votes)

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.

What plans are subject to Cal-COBRA?

Indemnity policies, PPOs, HMOs, and self-insured plans are all eligible for COBRA extension; however, federal government employee plans and church plans are exempt from COBRA.

What is a continuation COBRA?

COBRA continuation coverage will ensure you have health coverage until the coverage through your Marketplace plan begins. Through the Marketplace you can also learn if you qualify for free or low-cost coverage from Medicaid or the Childrens Health Insurance Program (CHIP).

Is Cal-COBRA more expensive?

COBRA Premiums For COBRA, you will pay 102% of the premium the employer pays. For CalCOBRA, you will pay: At least 110% of the premium the employer pays if it is based on the age of covered employees.

Is cal-COBRA the same as COBRA?

Federal COBRA generally extends health coverage for 18 months. Individuals with certain qualifying events may be eligible for a longer extension (e.g., 29 or 36 months). Cal-COBRA allows individuals to continue their group health coverage for up to 36 months.

What is a cal-COBRA notice?

The California Continuation Benefits Replacement Act (Cal-COBRA) specifies the amount a qualified beneficiary can be charged for continuation coverage, how long the continuation coverage can last, and when coverage can be terminated.

What is the Covered California COBRA?

Much like federal COBRA, Cal-COBRA is a California law that lets you keep your group health plan when your job ends or your hours are cut. It may also be available to people who have exhausted their federal COBRA. Cal-COBRA applies to employers and group health plans that cover from two to 19 employees.

What does COBRA continuation coverage mean?

COBRA stands for the Consolidated Omnibus Budget Reconciliation Act. COBRA allows former employees, retirees, and their dependents to temporarily keep their health coverage.

What is the difference between Cal-COBRA and COBRA?

Cal-COBRA covers indemnity policies, PPOs and HMOs, but not self-insured plans. Unlike federal COBRA, church plans are covered under Cal-COBRA. Federal COBRA generally extends health coverage for 18 months.

Get the up-to-date CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca 2025 now

Here's how it works

The best way to change CalPERS Group Continuation Coverage (COBRA) CalPERS Group Continuation Coverage (COBRA) - calpers ca online