Independence Blue Cross (IBC) of Philadelphia, Pennsylvania has announced that it wants the PA Model Notice Election Form from PA Dept of Insurance – returned if a separated employee is eligible for ARRA ( Premium Assistance).
Note: Cobra Control Services, LLC will provide its clients’ separated employees with a facsimile version of this election form in its standard PA Mini-COBRA Qualifying Event Notice. Such clients do not need to be concerned about sending this form. However, clients will be required to provide such election form to IBC when their separated employees enroll in an IBC coverage and is eligible for ARRA.
http://s3.amazonaws.com/pgica/556/employee_model_notice_fiinal070909.pdf
Filed under: PA Mini-COBRA | Tagged: PA Mini-COBRA
