Cobra Enrollment Form Templates
Cobra Enrollment Forms are used to enroll in the Consolidated Omnibus Budget Reconciliation Act (COBRA) continuation coverage. COBRA allows individuals who lose their job or experience a reduction in work hours to continue their health insurance coverage for a specified period of time. The enrollment form is used to formally request and initiate this continuation of coverage.
Documents:
1
This document provides information about special enrollment rights and the waiver form for the Choice Cobra program.
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