Health Benefits Advisor

COBRA Continuation Coverage through My Former Job's Group Health Plan

Please choose the statement that best describes your situation:

Your former employer had:

• 20 or more employees in the prior year.
• Fewer than 20 employees in the prior year.

Please note: If the group health plan is collectively bargained, only one contributing employer needs to have 20 or more employees in the prior year in order for you to have COBRA rights under the plan. If this case applies to you, please choose "20 or more employees" above.