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Form CALHR689 Cobra Continuation Election Form - Flexelect Program - California
What Is Form CALHR689?
This is a legal form that was released by the California Department of Human Resources - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is CALHR689 Cobra Continuation Election Form?A: CALHR689 Cobra Continuation Election Form is a form used in the Flexelect Program in California for electing Cobra continuation coverage.
Q: What is the Flexelect Program in California?A: The Flexelect Program in California is a flexible benefits program that allows eligible state employees to customize their benefit plans.
Q: What is Cobra continuation coverage?A: Cobra continuation coverage is a temporary extension of health insurance coverage for eligible individuals who lose their job or have a reduction in work hours.
Q: What is the purpose of CALHR689 Cobra Continuation Election Form?A: The purpose of CALHR689 Cobra Continuation Election Form is to allow eligible state employees to elect Cobra continuation coverage under the Flexelect Program.
Q: Who can use CALHR689 Cobra Continuation Election Form?A: CALHR689 Cobra Continuation Election Form can be used by eligible state employees who are enrolled in the Flexelect Program and need to elect Cobra continuation coverage.
Form Details:
- Released on July 1, 2016;
- The latest edition provided by the California Department of Human Resources;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CALHR689 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Human Resources.
Download Form CALHR689 Cobra Continuation Election Form - Flexelect Program - California
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