COBRA Election Form for Employee - $25.00

This form is to be completed by employees seeking to participate in the COBRA program, which allows employees to remain enrolled in their employer's group health plan for a limited time when the employee has left the company. The employee is responsible for the insurance premiums if enrolled in COBRA, but receives the benefit of group coverage, which often means lower premiums.

If you have not registered yet, please register with The Law Office of Jacob T. Arthur





If you have already created your account with The Law Office of Jacob T. Arthur, please log in here.





Forgot your password?
HOME | TERMS & CONDITIONS | ADMIN

© Copyright, 2007-2024, DirectLaw, Inc.