Form PERS-HBD-85 Group Continuation Coverage (Cobra) - California

Form PERS-HBD-85 Group Continuation Coverage (Cobra) - California

What Is Form PERS-HBD-85?

This is a legal form that was released by the California Public Employees' Retirement System - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form PERS-HBD-85?
A: Form PERS-HBD-85 is a document for Group Continuation Coverage (Cobra) in California.

Q: What is Group Continuation Coverage (Cobra)?
A: Group Continuation Coverage (Cobra) allows certain employees and their dependents to continue their health insurance coverage after losing their job or experiencing other qualifying events.

Q: Who is eligible for Group Continuation Coverage (Cobra)?
A: Employees who had health insurance coverage through their employer and experienced a qualifying event, such as job loss or reduction in work hours, are typically eligible for Group Continuation Coverage (Cobra).

Q: How long does Group Continuation Coverage (Cobra) last?
A: Group Continuation Coverage (Cobra) can last up to 18 months for most qualifying events, and up to 36 months for certain other qualifying events.

Q: What is the purpose of Form PERS-HBD-85?
A: Form PERS-HBD-85 is used to provide information and election options for employees who are eligible for Group Continuation Coverage (Cobra) in California.

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Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the California Public Employees' Retirement System;
  • 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 fillable version of Form PERS-HBD-85 by clicking the link below or browse more documents and templates provided by the California Public Employees' Retirement System.

Download Form PERS-HBD-85 Group Continuation Coverage (Cobra) - California

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