Form A0254A Cobra Notification / Election Form - Iowa

Form A0254A Cobra Notification / Election Form - Iowa

What Is Form A0254A?

This is a legal form that was released by the Iowa Department of Administrative Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form A0254A?
A: Form A0254A is the Cobra Notification/Election Form used in Iowa.

Q: What is Cobra?
A: Cobra stands for Consolidated Omnibus Budget Reconciliation Act, a law that allows individuals to continue their health insurance coverage when they would otherwise lose it.

Q: What is the purpose of Form A0254A?
A: The purpose of Form A0254A is to provide notice to employees and their qualified beneficiaries of their right to continue health insurance coverage under Cobra.

Q: Who needs to fill out Form A0254A?
A: Employers that are subject to Cobra requirements must fill out Form A0254A.

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Form Details:

  • Released on April 1, 2018;
  • The latest edition provided by the Iowa Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form A0254A by clicking the link below or browse more documents and templates provided by the Iowa Department of Administrative Services.

Download Form A0254A Cobra Notification / Election Form - Iowa

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