The Utah Election Form for Continuation of Benefits, also known as COBRA, is a crucial document that allows individuals to continue their health insurance coverage after experiencing a qualifying event that would typically result in the loss of this coverage. This form is specific to the state of Utah and enables eligible individuals to elect to remain on their employer-sponsored group health plan for a specified period. Utah offers different types of Election Forms for the continuation of benefits, based on the qualifying event that has occurred. These forms ensure that individuals have access to the necessary coverage they need during critical times. Here are some of the different types: 1. Utah Election Form for Continuation of Benefits — Termination of Employment: If an individual's employment is terminated for any reason other than gross misconduct, they may qualify for COBRA continuation coverage. The termination of employment election form must be completed to select this coverage option. 2. Utah Election Form for Continuation of Benefits — Reduction of Hours: When an employee's hours are reduced, resulting in the loss of eligibility for their employer-sponsored health insurance plan, they may be eligible for COBRA continuation coverage. The reduction of hours election form must be submitted to choose this coverage. 3. Utah Election Form for Continuation of Benefits — Divorce or Legal Separation: In the event of a divorce or legal separation, the non-employee spouse may continue to receive health insurance coverage through COBRA. The divorce or legal separation election form should be completed to select this coverage option. 4. Utah Election Form for Continuation of Benefits — Dependent Child Aging Out: When a dependent child reaches the maximum age to qualify under the employer-sponsored health insurance plan, they may still be eligible for continued coverage under COBRA. The dependent child aging out election form must be filled out to avail of this option. These forms provide individuals with detailed information about their rights, coverage options, and costs associated with continuing their health insurance benefits through COBRA. It is important to carefully complete and submit the appropriate Utah Election Form for Continuation of Benefits, as it ensures the uninterrupted access to healthcare services during critical periods.