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Please, fill the form in less than a minute. Your connection will be secured. All information we collect is strictly confidential. Some useful information about insurances, policies and programs:Once it has been notified of the qualifying event, the group health plan has 14 days to send you a notice about how to elect COBRA coverage. Each member of your family eligible for COBRA coverage then has 60 days to make this election. Once you elect COBRA, coverage will begin retroactive to the qualifying event. You will have to pay premiums dating back to this period.
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