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Adams® COBRA Election Form for Employee, 1-Use Interactive Digital Legal Form

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Adams

DLF498-SL

Product Description

This universal form allows employees to elect continuation of their employer’s group health coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA), for themselves, their spouse, former spouse or dependent children due to a qualifying event.

This website provides legal forms only. We do not provide legal advice. Proper filing and service of documents and payment of related notary, court and filing fees are the responsibility of the purchaser. The legal documents offered from this website are intended to be used within thirty (30) days from the time of purchase.

Works with Microsoft Internet Explorer 7.0 or higher , Mozilla Firefox , Google Chrome, Safari 6.0 and earlier, and Android standard web browsers

$6.95
1 form
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