to 36 months in certain events (Death of the employee, Medicare entitlement,
Divorce or legal ... Each payment is due to the employer the ______ of the month.
Sample COBRA Letter. Vermont Companies: ... As an employee of [Name of
Employer] covered by [Group Health Plan Name], you have the right to elect this ...
Model COBRA Continuation Coverage Election Notice ... this Plan) give
employees and their families the opportunity to continue their health care ... there'
s a “qualifying event” that would result in a loss of coverage under an employer's
plan. ... For example, if you move to other coverage you may pay more out of
pocket than ...
Model COBRA Continuation Coverage General Notice ... For example, you may
be eligible to buy an individual plan through the ... to the employer;]; or; The
employee's becoming entitled to Medicare benefits (under Part A, Part B, or both).
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 ...
Sample Initial Notice – Notice to newly covered employees stating their rights ....
respect to the employer,] or the employee's becoming entitled to Medicare ...
Jul 15, 2015 ... Note: Multi-employer plans have special rules for COBRA notice requirements.
Failure ... This notice must be provided to each covered employee and each
covered spouse of an ... See the DOL's sample COBRA notices here.
Aug 22, 2014 ... Tools & Samples; Employee Handbooks · Express Requests · How-To ... See
NOTE TO EMPLOYER at the end of this notice for additional information.] ...
COBRA continuation coverage terminated or will terminate for the following
reason: ... _____ A covered employee became entitled to Medicare benefits ....
please provide written notification so a notice can be sent to them as well. Under
federal COBRA law, your employer is required to offer covered employees and ...