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  Benefits

COBRA

 

CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT
Department of Labor

FORMS

SEE BELOW

AMERICAN RECOVERY and REINVESTMENT ACT
ARRA of 2009

President Obama signed the American Recovery and Reinvestment Act (ARRA) on February 17, 2009. The law gives “Assistance Eligible Individuals” the right to pay reduced COBRA premiums for periods of coverage beginning on or after February 17, 2009 and can last up to 9 months.

Individuals who experienced a qualifying event as the result of an involuntary termination of employment at any time from September 1, 2008 through February 16, 2009 and were offered, but did not elect, continuation coverage OR who elected continuation coverage and subsequently discontinued it may have he right to an additional 60-day election period.

REQUEST FOR CONTINUING HEALTH COVERAGE
COBRA Enrollment Forms

COBRA Universal Enrollment Form*

    *You must complete the Universal Enrollment Form AND the appropriate form below to enroll into COBRA

 
 

 

Last Updated: Tuesday, August 11, 2009 at 3:18:58 PM
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