COBRA Subsidy Information for Employers

General Information

Model Notices for Groups of 2-19 Employees

• MA Continuation of Coverage Additional Election Notice
• Summary of the Continuation Coverage Premium Reduction Provisions under ARRA
• Continuation Coverage Election Form
• Form for Switching Continuation Coverage Benefit Options
• Important Information About Your Continuation Rights
• Participant Notification
• Request for Treatment as an Assistance Eligible Individual (AEI)
• Tufts Health Plan COC Attestation Form
• Extended Election Period Notice
• New Election Period Notice
• Supplemental Information Notice
• Description of Notices

• For customizable model notices, please visit the United States Department of Labor.