COBRA Forms
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- Free access to customizable COBRA Forms listed below ↓
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- Acknowledgment of receipt of COBRA notice
- COBRA Continuation Waiver Letter
- Employer/Plan Administrator Notice to Employee of Unavailability of Continuation Coverage
- Model COBRA Continuation Coverage Election Notice (For Use By Single-Employer Group Health Plans)
- Model General Notice of COBRA Continuation Coverage Rights
- Notice from Employer to Employee Regarding Early Termination of Continuation Coverage
- Notice of COBRA Qualifying Event from Employer to Plan Administrator
- Qualifying Event Notice Information for Employee to Send to Plan Administrator