This is a legal form that was released by the California Department of Human Resources - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is CALHR689 Cobra Continuation Election Form?
A: CALHR689 Cobra Continuation Election Form is a form used in the Flexelect Program in California for electing Cobra continuation coverage.
Q: What is the Flexelect Program in California?
A: The Flexelect Program in California is a flexible benefits program that allows eligible state employees to customize their benefit plans.
Q: What is Cobra continuation coverage?
A: Cobra continuation coverage is a temporary extension of health insurance coverage for eligible individuals who lose their job or have a reduction in work hours.
Q: What is the purpose of CALHR689 Cobra Continuation Election Form?
A: The purpose of CALHR689 Cobra Continuation Election Form is to allow eligible state employees to elect Cobra continuation coverage under the Flexelect Program.
Q: Who can use CALHR689 Cobra Continuation Election Form?
A: CALHR689 Cobra Continuation Election Form can be used by eligible state employees who are enrolled in the Flexelect Program and need to elect Cobra continuation coverage.
Form Details:
Download a fillable version of Form CALHR689 by clicking the link below or browse more documents and templates provided by the California Department of Human Resources.