Connecticut Continuation Coverage Election Notice Form - Connecticut

Connecticut Continuation Coverage Election Notice Form - Connecticut

Connecticut Continuation Coverage Election Notice Form is a legal document that was released by the Connecticut Insurance Department - a government authority operating within Connecticut.

FAQ

Q: What is the Connecticut Continuation Coverage Election Notice Form?
A: The Connecticut Continuation Coverage Election Notice Form is a document that provides information about continuing health insurance coverage for individuals who have lost their job or experienced a reduction in work hours.

Q: Who is eligible for Connecticut continuation coverage?
A: Eligibility for Connecticut continuation coverage includes individuals who have lost their job, experienced a reduction in work hours, or have been eligible for group health insurance but are no longer eligible due to a change in employment status.

Q: How long does Connecticut continuation coverage last?
A: Connecticut continuation coverage can last up to 18 months, depending on the circumstances causing the loss of group health insurance coverage.

Q: Is there a deadline to apply for Connecticut continuation coverage?
A: Yes, there is a deadline to apply for Connecticut continuation coverage. It must be done within 60 days of losing group health insurance coverage.

Q: How can I apply for Connecticut continuation coverage?
A: To apply for Connecticut continuation coverage, you must complete and submit the Connecticut Continuation Coverage Election Notice Form to the appropriate entity, such as your employer or insurance provider.

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Form Details:

  • Released on July 1, 2014;
  • The latest edition currently provided by the Connecticut Insurance Department;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut Insurance Department.

Download Connecticut Continuation Coverage Election Notice Form - Connecticut

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