FORM

Initial Notification to Employees of COBRA Rights

Included are the following:

  • a ready-made letter that requires that you fill in the blanks with your employee's name and address, the name of the insurance plan/company, and the name of the plan administrator
  • special headings and organization to help your employees understand their rights to continue insurance coverage in the event they should leave or be terminated
  • helpful checklists to help you and your employees know when COBRA coverage is warranted
  • clear directions about what employees can expect and what they must do should they wish to take advantage of COBRA coverage in the future

Download in RTF Format (11,335 Bytes)

The file contains a three-page document in rich text format (RTF) that is suitable for use with most word processing programs used in the Windows environment.



LEGAL AND TAX FORMS