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!

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Using COBRA Notices Generator, you can create all 6 required COBRA notices, including:

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• 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.

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• Notice of COBRA Qualifying Event: Must be provided to the plan administrator when the employee experiences a COBRA qualifying event.

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• 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.  

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• Notice of Unavailability of COBRA Coverage: Must be provided to individuals not eligible for COBRA coverage or a COBRA extension.

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• Notice of Underpayment of COBRA Premium: Must be provided to COBRA recipients that have not made a sufficient COBRA payment for a given month.

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• Notice of Early Termination of COBRA Coverage: Must be provided to COBRA recipients whose COBRA coverage is being terminated early.

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COBRA Notices Generator currently generates notices to help the following employers satisfy their COBRA notice obligations: 

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• All employers in Alabama, Alaska, California, Connecticut, Idaho, Indiana, Massachusetts, Michigan, Montana, Nevada, New York, and Washington. 

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• 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.