Mecklenburg North Carolina Formulario de elección de continuación de cobertura COBRA - COBRA Continuation Coverage Election Form

State:
Multi-State
County:
Mecklenburg
Control #:
US-322EM
Format:
Word
Instant download

Description

Este formulario permite que una persona elija la continuación de la cobertura de COBRA.

The Mecklenburg North Carolina COBRA Continuation Coverage Election Form is a crucial document that allows individuals to exercise their rights and elect to continue their health insurance coverage after experiencing a qualifying event that would otherwise result in the loss of their group health insurance plan. COBRA (Consolidated Omnibus Budget Reconciliation Act) is a federal law that ensures certain employees, retirees, and their dependents have the option to temporarily maintain their health insurance coverage provided by their employer, even if they would typically lose it due to circumstances like job loss, reduction in working hours, or other qualifying events. The Mecklenburg North Carolina COBRA Continuation Coverage Election Form is tailored specifically to residents of Mecklenburg County, North Carolina. This form acts as an official request for COBRA continuation coverage and requires detailed information from the individual wishing to exercise this option. It typically includes sections such as: 1. Personal Information: Name, address, contact details, social security number, etc. 2. Qualifying Event Information: The reason for eligibility (job loss, reduction in hours, etc.), date of the qualifying event, and the name of the employer. 3. Coverage Options: The different types of health insurance coverage available for selection, such as individual, individual plus spouse, individual plus family, etc. 4. Election Period: The duration within which the individual must submit the election form to secure COBRA coverage. 5. Premium Payments: Details on the premium costs, preferred payment method (monthly, quarterly, etc.), and instructions on making timely payments. 6. Termination of Coverage: Information on when the COBRA continuation coverage will terminate and under what circumstances (e.g., reaching the end of the maximum coverage period). In Mecklenburg County, there might be variations of the COBRA Continuation Coverage Election Form based on the employer or specific insurance plans provided. However, the core purpose of the form remains the same — allowing individuals to extend their health insurance temporarily. It is important to note that the Mecklenburg North Carolina COBRA Continuation Coverage Election Form is time-sensitive, and failure to submit it within the prescribed timeframe may result in the loss of COBRA coverage eligibility. Therefore, individuals should carefully review the details, complete the form accurately, and submit it to the relevant parties as soon as possible to ensure uninterrupted health insurance coverage.

Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.
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FAQ

COBRA significa Ley Omnibus Consolidada de Reconciliacion Presupuestaria. Es una ley federal creada en 1985 que les permite a las personas continuar con la cobertura de seguro de salud, por un periodo limitado, en caso de perdida del trabajo o cualquier otro evento calificado.

La ley COBRA provee a las personas en ciertas circunstancias la opcion de conservar el seguro medico obtenido con un empleador por una extension de tiempo adicional tras haber dejado de trabajar en caso de no poder obtener cobertura a traves del empleo de sus conyuges ni en el mercado de seguros medicos.

Cualquier plan de seguro que cumpla con el requisito de la Ley del Cuidado de Salud de Bajo Precio para tener cobertura de salud.

The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss,

Winston Santos, informo este martes que todos los trabajadores suspendidos y sus dependientes directos y adicionales, conservaran su afiliacion al Seguro Familiar de Salud (SFS), por un periodo de 60 dias, dicha medida esta contenida en la Resolucion No.

Qualified unemployed individuals can qualify for free COBRA health insurance coverage under the latest relief bill. Unemployed Americans who lost their jobs in the last 18 months may qualify for free health insurance coverage through the Consolidated Omnibus Budget Reconciliation Act, commonly known as COBRA.

¿Que es Continuacion de Cobertura COBRA? La Ley Omnibus de Reconciliacion Presupuestaria Consolidada (COBRA, por sus siglas en ingles) requiere que los planes de salud grupales proporcionen una continuacion temporal de la cobertura de salud grupal que de otro modo podria cancelarse.

En 1985, el gobierno de los Estados Unidos aprobo la Ley Omnibus Consolidada de Reconciliacion Presupuestaria o COBRA, para abreviar.

To access the COBRA portal, click on the Login button in the upper right hand corner of the website, then click "Members" from the dropdown menu. From the Member Login page, click the "COBRA Login" button and you will be directed to the COBRA portal page.

More info

COBRA Continuation Coverage. Each person ("qualified beneficiary") in the category(ies) checked below is entitled to elect.Notice out-of-date information or see a program you work for? Coverage option in a standard format, to help you compare options. Will be required to complete a Form I-9 for this purpose. Reported within the time periods specified in the SEC's rules and forms.

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Mecklenburg North Carolina Formulario de elección de continuación de cobertura COBRA