COBRA Coverage Continuation

bentuk disesuaikan untuk Cakupan COBRA Kelanjutan

Customizable form for COBRA Coverage Continuation. Complete the form directly from your tablet or smartphone, and send it via email (or you can print it too!) when you’re done.

The Consolidated Omnibus Budget Reconciliation Act (COBRA) health benefit provisions amend the Employee Retirement Income Security Act, the Internal Revenue Code and the Public Health Service Act to require group health plans to provide a temporary continuation of group health coverage that otherwise might be terminated.

Snappii is not associated with the U.S Department of Labor.

By downloading, you agree to the Terms of Use at https://www.snappii.com/policy

In addition to using free COBRA Coverage Continuation version you can get unlimited number of form submissions by subscribing via an optional In-App Purchase and remove all ads by purchasing onetime fee. Subscribe from your device and access these services via mobile app.

In-App Subscription Details:

• Ad Removal is $0.99 US dollars one-time fee

• Monthly Unlimited Form Submission Subscription to get is $4.99 US dollars per month

• Annual Unlimited Form Submission Subscription to get is $49.99 US dollars per year

• Payment will be charged to Account at confirmation of purchase

• No cancellation of the current subscription is allowed during active subscription period

• Account will be charged for renewal automatically