The Wisconsin COBRA Continuation Coverage Election Form is a crucial document that enables individuals to elect and enroll in COBRA continuation coverage after experiencing certain qualifying events that result in the loss of health insurance coverage. COBRA, or the Consolidated Omnibus Budget Reconciliation Act, is a federal law that provides employees and their dependents the option to continue their group health insurance coverage, usually for a limited period, when their coverage would otherwise end. The Wisconsin COBRA Continuation Coverage Election Form is specific to residents of Wisconsin and is used to ensure compliance with both federal and state regulations pertaining to COBRA continuation coverage. This form allows qualified beneficiaries to maintain access to the same health insurance coverage that was provided by their previous employer, even if they may no longer be employed or have experienced changes in employment status. By completing the Wisconsin COBRA Continuation Coverage Election Form accurately and within the designated time frame, eligible individuals can exercise their right to choose and enroll in COBRA continuation coverage. It is crucial to thoroughly review and understand the form's content before filling it out to avoid any errors or misunderstandings during the election process. Some important keywords relevant to the Wisconsin COBRA Continuation Coverage Election Form are: 1. COBRA continuation coverage: This term refers to the extension of health insurance coverage provided to qualified beneficiaries for a limited period following specific life events such as job loss, reduction of hours, or divorce. 2. Qualifying event: This keyword signifies an event, such as the termination of employment or a reduction in work hours, which allows an individual to qualify for COBRA continuation coverage. 3. Health insurance coverage: This phrase refers to the insurance plan that provides medical, hospital, and related benefits to individuals and their dependents. 4. Qualified beneficiaries: These are individuals who were covered under a group health insurance plan before experiencing a qualifying event and are eligible for COBRA continuation coverage. 5. Wisconsin: This keyword specifies the location and jurisdiction for which the COBRA Continuation Coverage Election Form is designed. Different types of Wisconsin COBRA Continuation Coverage Election Forms may exist, depending on factors such as the number of qualified beneficiaries, the type of coverage being continued, and the circumstances of the qualifying event. It is essential to use the appropriate form that aligns with the specific situation and requirements outlined by the employer and the group health insurance plan.