Cobra Continuation Services - Benefit Termination Form - California

Cobra Continuation Services - Benefit Termination Form - California

Cobra Continuation Services - Benefit Termination Form is a legal document that was released by the California Department of Managed Health Care - a government authority operating within California.

Form Details:

  • Released on May 20, 2013;
  • The latest edition currently provided by the California Department of Managed Health Care;
  • 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 California Department of Managed Health Care.

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Download Cobra Continuation Services - Benefit Termination Form - California

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