COBRA Qualifying Event Notice (Provided by Covered Employee or Qualified Beneficiary) | Practical Law

COBRA Qualifying Event Notice (Provided by Covered Employee or Qualified Beneficiary) | Practical Law

A notice from an employee or other qualified beneficiary covered under a group health plan that is subject to the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)—to the plan administrator—regarding the occurrence of specified COBRA qualifying events. This Standard Document has integrated notes with important explanations and drafting tips.

COBRA Qualifying Event Notice (Provided by Covered Employee or Qualified Beneficiary)

Practical Law Standard Document w-020-3773 (Approx. 12 pages)

COBRA Qualifying Event Notice (Provided by Covered Employee or Qualified Beneficiary)

by Practical Law Employee Benefits & Executive Compensation
Maintained • USA (National/Federal)
A notice from an employee or other qualified beneficiary covered under a group health plan that is subject to the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)—to the plan administrator—regarding the occurrence of specified COBRA qualifying events. This Standard Document has integrated notes with important explanations and drafting tips.