COBRA Notices Generator
COBRA Notices
Generator allows you to create the COBRA notices you need in 3 easy
steps. Just fill out the plan and administrator information, answer some
questions, and download your COBRA notices in a snap!
Using COBRA Notices Generator, you
can create all 6 required COBRA notices, including:
- General
Notice of COBRA Rights: Must be provided to employees and
their spouses within the first 90 days of coverage under a group health plan.
- Notice
of COBRA Qualifying Event: Must be provided to the plan
administrator when the employee experiences a COBRA qualifying event.
- COBRA
Election Notice: Must be provided to COBRA-eligible individuals to
notify them of the COBRA coverage available to them when they experience
a COBRA qualifying event.
- Notice
of Unavailability of COBRA Coverage: Must be provided to
individuals not eligible for COBRA coverage or a COBRA extension.
- Notice
of Underpayment of COBRA Premium: Must be provided to
COBRA recipients that have not made a sufficient COBRA payment for a given
month.
- Notice of Early
Termination of COBRA Coverage: Must be provided to COBRA recipients
whose COBRA coverage is being terminated early.
COBRA Notices Generator currently generates notices to help the following employers satisfy their COBRA notice obligations:
- All employers in Alabama, Alaska, California, Connecticut, Idaho, Indiana, Massachusetts, Michigan, Montana, Nevada, New York, and Washington.
- Employers with 20 or more employees in Arizona, Arkansas, Colorado, Delaware, District of Columbia, Florida, Iowa, Kentucky, Louisiana, Maine, Mississippi, Nebraska, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, West Virginia, and Wyoming.