Notice of Termination of COBRA Coverage | Practical Law

Notice of Termination of COBRA Coverage | Practical Law

A notice from the plan administrator of a group health plan to inform an individual who is receiving health plan continuation coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) that the coverage will terminate before the end of the otherwise applicable maximum coverage period. This Standard Document has integrated notes with important explanations and drafting tips.

Notice of Termination of COBRA Coverage

Practical Law Standard Document w-001-0232 (Approx. 7 pages)

Notice of Termination of COBRA Coverage

by Practical Law Employee Benefits & Executive Compensation
MaintainedUSA (National/Federal)
A notice from the plan administrator of a group health plan to inform an individual who is receiving health plan continuation coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) that the coverage will terminate before the end of the otherwise applicable maximum coverage period. This Standard Document has integrated notes with important explanations and drafting tips.