What is COBRA, and what does it mean to me?

In 1986, Congress passed the Consolidated Omnibus Budget Reconciliation Act (COBRA) health benefit provisions.

You can pay your premium in any of the following ways:

Your open enrollment period is based upon your benefit period. Please refer to the chart below and your enrollment materials to determine which period applies to you.

• A completed New Dependent Form and a copy of the recorded birth certificate must be submitted to the Plan within 60 days in order to qualify for the specia

• When you get married, a completed New Dependent Form and a copy of the recorded marriage certificate must be submitted to the Plan within 60 days in order to qu

Forms can be downloaded and completed directly on your computer before saving or printing.

Benefit Updates

From time to time, changes are made to participant benefits. It is important to stay up-to-date with these changes as they are announced.

Full Plan details and rules are available in the Summary Plan Description (SPD).

For benefits on and after January 1, 2023, please refer to the

What’s Changing