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Adams® COBRA Late Payment Notice, 1-Use Interactive Digital Legal Form

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Adams

DLF499-SL

Product Description

Employers or plan administrators may use this letter as a notice of late payment to an employee or beneficiary receiving group health plan coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA).

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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