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COBRA Election Form for Employee

This form is to be completed by employees seeking to participate in the COBRA program, which allows employees to remain enrolled in their employer's group health plan for a limited time when the employee has left the company. The employee is responsible for the insurance premiums if enrolled in COBRA, but receives the benefit of group coverage, which often means lower premiums.

Self Service

Price: Free

Included in this service:

COBRA Election Form for Employee (Guidance Notes)