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COBRA Model Election Notice - United States Department of Labor

www.dol.gov/sites/default/files/ebsa/laws-and-regulations/laws/cobra/model-election-notice.doc

Model COBRA Continuation Coverage Election Notice. Instructions. The Department of Labor has developed a model Consolidated Omnibus Budget ...

COBRA: Model Election Notice

www.shrm.org/resourcesandtools/tools-and-samples/hr-forms/pages/cobraelectionandnotice.aspx

Aug 22, 2014 ... The COBRA Model Election Notice was revised to inform qualified beneficiaries of coverage options available through government-run health ...

COBRA: Termination of Coverage Notice

www.shrm.org/resourcesandtools/tools-and-samples/hr-forms/pages/cms_009553.aspx

Aug 22, 2014 ... This notice pertains to your COBRA continuation coverage under [Name of the plan(s) under which COBRA coverage will terminate].

SAMPLE REPORTS AND LETTERS Sample COBRA Forms, Letters ...

images.template.net/wp-content/uploads/2016/06/30052203/Hr-Letterhead-Template.pdf

Sample Initial Notice – Notice to newly covered employees stating their rights under ... 14 Sample COBRA Notice For California – COBRA notice sent to newly  ...

Sample Notice of Early Termination of COBRA Coverage - HR360.com

www.hr360.com/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=5295&libID=5491

Sample Notice of Early Termination of COBRA Coverage. Date: ... Please be advised that your COBRA continuation coverage will end on [Date] for the following ...

COBRA Rights Notification Letter Template | BizFilings Toolkit

www.bizfilings.com/toolkit/tools-forms/office-hr/comp-benefits/cobra-rights-notification-template.aspx

May 17, 2012 ... The COBRA Rights Notification Letter Template contains a model form of the letter that all employees must receive either from their employer or ...

New Model COBRA Notices Should be Used by Employers ...

www.jacksonlewis.com/resources-publication/new-model-cobra-notices-should-be-used-employers

May 12, 2014 ... The Department of Labor has published a new model general COBRA notice and a new model election COBRA notice. The new model notices ...

Sample Initial Notice Form - CcmHg

ccmhg.com/wp-content/uploads/2012/09/Sample_Initial_Notice.pdf

Employer Name. Sample Initial Notice. ** Continuation Coverage Rights Under COBRA**. Introduction. You are receiving this notice because you are covered ...

Initial COBRA Notification letter

www.auxillium.com/VirtualHR/cobraini.doc

RE: Enclosed COBRA Initial Notification Letter. As of <insert effective date of insurance coverage> you and your dependents are covered under the < Company ...

COBRA Model Election Notice Modified - ADP.com

www.adp.com/tools-and-resources/adp-research-institute/insights/insight-item-detail.aspx?id={D51C5279-413F-4134-AB8F-5152DA66D58C}

May 21, 2013 ... As part of its TR 2013-02 guidance, the DOL has also provided an updated model COBRA election notice that reflects changes necessitated by ...

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COBRA Model General Notice

www.dol.gov

Model COBRA Continuation Coverage General Notice. Instructions. The Department of Labor has developed a model Consolidated Omnibus Budget ...

COBRA: What notices must be provided to qualified beneficiaries ...

www.shrm.org

Jul 15, 2015 ... Note: Multi-employer plans have special rules for COBRA notice requirements. Failure to ... See the DOL's sample COBRA notices here.

Updated COBRA Notices and Proposed Guidance Issued

www.shrm.org

May 5, 2014 ... New model COBRA notices highlight the Affordable Care Act's public exchange/ Marketplace coverage as a COBRA alternative for departing ...