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Cobra Enrollment Form - Maryland
Cobra Enrollment Form is a legal document that was released by the Maryland Department of Budget and Management - a government authority operating within Maryland.
FAQ
Q: Who is eligible to enroll in Cobra in Maryland?A: Employees who have been terminated or experienced a reduction in hours and their dependents.
Q: How long do I have to enroll in Cobra in Maryland?A: You have 60 days to enroll after your coverage ends.
Q: How long does Cobra coverage last in Maryland?A: Coverage typically lasts for 18 months, but it may be extended to 29 months in certain circumstances.
Q: How much does Cobra coverage cost in Maryland?A: The cost of Cobra coverage is the responsibility of the enrollee, and it can be up to 102% of the premium.
Q: Can I continue my health coverage under Cobra if I get a new job?A: No, if you become eligible for another group health plan, you will no longer be eligible for Cobra coverage.
Q: What should I do if I have a problem with my Cobra coverage in Maryland?A: Contact the Maryland Insurance Administration for assistance with any issues related to Cobra coverage.
Form Details:
- The latest edition currently provided by the Maryland Department of Budget and Management;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Maryland Department of Budget and Management.
Download Cobra Enrollment Form - Maryland
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