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Get Nc M&a Prime Benefits Notice Of Right To Elect State Continuation Coverage 2002-2024

R) (Address) (Telephone #) * Provide a copy to the employee s spouse and/or dependents, if any. The Plan Administrator of the company s group health plan was notified that your group health coverage, and that of your spouse and dependent children, if any, will terminate due to the following event: Termination of employment Reduction in hours of employment According to the State Regulation Section 38-71-770, this is a qualifying event that entitles you, your spouse and .

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