The federal law known as COBRA requires plan administrators to provide a number of COBRA forms (or notices) to affected individuals.

Below is a list of the most commonly used COBRA forms:

Initial Notice of COBRA Rights.  Sent to an individual within 90 days of the date they first become covered under the plan.

Qualifying Event Notice:  Sent when an individual experiences a qualifying event that causes a loss of coverage.  Qualifying Events are:

• Termination of Employment/Reduction of hours
• Death of Employee.
• Divorce
• Child No Longer Dependent under the terms of the plan.
• Entitlement to Medicare.

COBRA Notice of Unavailability:  Sent when an individual requests, but is not eligible for, COBRA coverage.

COBRA Notice of Early Termination.  Sent when COBRA coverage is terminated prior to the end of the maximum coverage period (Ex. Non-payment of premium).

It is important that the employer/plan administrator maintain up-to-date COBRA forms and notices. 

 For more information about CobraAid's COBRA Compliance Program:

Employers Click Here

Brokers Click Here.

For a Free COBRA Employers Guide, CLICK HERE.

See how easy it is:

Watch the COBRA Software Demo

*COBRA is a Federal law that requires certain employers to offer ex-employees and their dependents the opportunity to continue their coverage under the company’s group health plan. To request a free copy of COBRA’s latest regulations (2004) in PDF version, send your request to service@cobraaid.com