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COBRA products

As plan administrator for the COBRA process, the HCA is responsible for verifying all enrollees are notified of their COBRA and other continuation coverage rights within the specified timeframe. To satisfy this requirement, the HCA has assumed the responsibility for distributing COBRA and other continuation coverage materials. This is a monthly automated process of the PEBB Continuation of Coverage Election Notice packets.

For your reference, the continuation coverage materials are provided below.

Note: These are large .pdf files and may take some time to download.

  • Continuation Coverage Election Notice (2021)
  • Initial Notice of COBRA and Continuation Coverage Rights (2021)


If you have questions, please contact the Outreach and Training Unit.