What is COBRA?
COBRA continuation coverage offers employees and covered dependent(s) a temporary extension of coverage.
COBRA participants cannot enroll in benefits online.
COBRA application form (18 months of coverage) will be mailed to the employee after active benefits have been terminated.
Participants have 60 days from the date active benefits terminate to return the COBRA application form(s).
To learn more about your COBRA continuation options, click a link below.
- Life Insurance
- Health Insurance
- Flexible Benefits (Dental, Vision, Medical Flexible Spending Account)
- COBRA Enrollment Form (2018-2019)
- COBRA Enrollment Form
- COBRA Direct Payment Plan Form
For mid-year qualifying family status events, complete the Family Status Change Form.