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COBRA Information
COBRA
Guidelines: This material is designed to provide guidance to
departments responsible for COBRA notification.
COBRA Form: Used in specific situations in which an employee
becomes ineligible for health, dental or vision benefits. Must be sent by
the employer to the employee/retiree affected within 14 days of the date the
employer receives notice of termination, reduction in hours or death. The
employee has 60 days from the date of the letter or the date of the end of
coverage, whichever is later, to return the form should he/she wish to continue
health and/or dental and/or vision coverage under COBRA. Must be returned to
the employee's Personnel/Human Resources office.
