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Notice of Unavailability of Continuation Coverage

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Notice of Unavailability of Continuation Coverage

Group health plans may sometimes deny a request for continuation coverage when the plan determines the requester is not entitled to receive it. If a plan decides to deny a request for continuation coverage from an individual, it is required to give the individual a Notice of Unavailability of Continuation Coverage.

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Alerts you to the penalties associated with key federal laws such as
COBRA and discrimination.

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Form Specifications:

Dimensions	Designed for Letter Size (8.5" x 11")
Printer compatibility	Designed to print on all ink-jet and laser printers
Editable	MS Word 97 or later
Format
Platforms
Usage	Unlimited number of prints
Download time	Less than 1 minute (approx.)

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Notice of Unavailability of Continuation Coverage

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Benefits Notices

Benefits Notices

Cobra Notices

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