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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:Special rules for disabled individuals may extend the maximum period of coverage to 29 months. To qualify for the disability extension, you must have been disabled at the time of your COBRA qualifying event (such as termination of employment or reduction in hours) or within 60 days of that qualifying event. You must obtain this disability determination from the Social Security Administration, and you must notify your group health plan of this disability determination.
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