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This is the Model Notice for COBRA Continuation Subsidy under the American Rescue Plan [ARP] Act of 2021. Employers please note that information for qualified beneficiaries must be completed. 

Certificate of Coverage for the Medicare Plus Plan for the 2025 plan year.

Certificate of Coverage for the Medicare Plus Plan for the 2024 plan year.

Under federal law, known as COBRA, you and your qualified beneficiaries may continue group health insurance coverage, if eligible.

This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

This Certificate of Coverage is your Summary Plan Description and contains the Uniform Benefits offered under the Group Health Insurance Program.

How much do employers contribute toward premiums for health insurance? Is it different than premiums for life or income continuation insurance (ICI)?

Open enrollment runs until Oct. 25, 2024. Learn about preventive care and drugs coverage in 2025, where to get free vaccines, diabetes management program, and more.

Uniform Pharmacy Benefits Certificate of Coverage for the 2025 plan year, for all program options.

Uniform Pharmacy Benefits Certificate of Coverage for the 2024 plan year, for all program options.