COBRA Analysis
2015-08-25 03:45:08 0 举报
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COBRA Walk Though
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大纲/内容
Currently eligible
coverage from job?
Yes
Employers info
Company name
Employer phone #
Currently enrolled in
company's coverage?
Yes
Planning to drop
company's coverage
in 2015?
No
Currently waiting or
probationary period?
Yes
When can start
No
Planning to enroll
company's coverage
in 2015?
Current or
former employee?
Yes
Current Work Status
Currently employed
Company meets the
min value standard?
Yes
Premium of the plan
Payment period
Company changes?
Company no longer
offer coverage
Last day
Company change the
cost of premium
Premium of the plan
Payment period
When company
make this change
I don't know
Company won't
make change
No
I don't know
Planning to drop/enroll
company's coverage
in 2015?
Yes
Last day / First day
End COBRA
No
End COBRA
No longer employed
Company coverage
a COBRA coverage?
Yes
Drop Company's coverage
or COBRA expired? / Plan to
enroll Company's coverage?
Yes
Last day / First day
End COBRA
No
End COBRA
No
Company meets the
min value standard?
Retired
Company coverage
is a retiree plan?
Yes
Drop Company's coverage
or COBRA expired? / Plan to
enroll Company's coverage?
Yes
Last day / First day
End COBRA
No
End COBRA
No
Company meets the
min value standard?
No
Same as "Yes"
No
eligible coverage
from job during 2015?
Yes
Start date
Employers info
No
End COBRA
I don't know
End COBRA
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