Information on COBRA

COBRA Model Notices
Use these sample COBRA forms - provided free by the Dept of Labor - to meet COBRA notification requirements. Forms can be customized and distributed to your employees.
COBRA Model Notice - General
COBRA Model Notices for the American Reinvestment and Recovery Act (ARRA)
COBRA Model Notice for the American Reinvestment and Recovery Act (ARRA) - Spanish
Employer's Guide to Health Continuation Coverage Under COBRA
State Continuation Notices
Use this sample state continuation form - provided free by applicable state - to meet state notification requirements.
Connecticut
CT Notice of Your Right To Continue Your Dental Coverage: Notice to employees about continuing coverage if family or employee status changes.
CA Continuance for Dental. Employees should use this form to request continuance of Dental coverage.
COBRA Information
For information on recent changes and how they may affect you, check out the links below:
COBRA Continuation Coverage Assistance
COBRA Health Insurance Continuation Premium
DOL Information related to the American Recovery and Reinvestment Act of 2009
Fact sheet: COBRA Premium Reduction
COBRA and Health Care Reform
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